RAY SCHAFER
2321 PINEY MOUNTAIN CHURCH Rd
BOSTIC, NC 28018   USA
To contact Ray Schafer:   ANSWERING SERVICE (leave message or fax): 828-245-8168     
 E-MAIL:  ppsa@bellsouth.net


Silhouette Targets Order Form
Ship To: 
 
Customer Name:		____________________________________

Business Name:		____________________________________

Street Address:		____________________________________   

City, State, Zip:	____________________________________

		        ____________________________________

Telephone: (please include area code)
Residence		(_____)__________________
Business		(_____)__________________
Fax			(_____)__________________

E-mail Address:	______________________________________

Quantity of Sets of 20 Animals:______
Quantity of Individual Targets: Chicken____Pig___Turkey___Ram___ 

Total Cost of Sets:                     $_________ 
Total Cost of Individual Targets:	$_________
Shipping Cost (as per web site):	$_________    Shipping Zone:___
   
Total Cost of Order:		    	$_________ 
 
Check or Money Order Number Enclosed:____________
 
How did you hear about our targets? 
Friend__    Web site__  
Magazine advertisement/Feature Article: Shooting Sports USA__  Precision Shooting__________ 
Small Caliber News__    NRA Silhouette Div.__   other___

Additional comments or instructions: