ORDER FORM
To order our product, please print this page and fill in the information. We will not be able to process your order if this form is not compete.
Please fill in all personal information requested. It may be needed for contacting you if there is a problem with your order.
Name and address: Phone number (with area code):
____________________________________ __________________________________
____________________________________ Email address:
____________________________________ __________________________________
Fill in the quantity of each item you would like and mark the extended price when indicated.
| Quantity | Description | Price per Unit | Extended Price |
| Hoochie 1.75" Nat. Glow | 2.99 | ||
| Hoochie 1.75" Pink Glow | 2.99 | ||
| Hoochie 1.75" Green Splatter Back Glow | 2.99 | ||
| Hoochie 1.75" Chart Spletter Back Glow | 2.99 |
| Tube Hoochie Pink & White Glow | 2.29 | ||
| Tube Hoochie Orange & Chart Glow | 2.29 | ||
| Tube Hoochie Green & Chart Glow | 2.29 | ||
| Tube Hoochie Pink & Chart Glow | 2.29 | ||
| Wild Thing Mini Dodger - Pearl WhiteDG07 | 5.49 | ||
| Wild Thing Mini Dodger - SilverDG08 | 5.49 | ||
| Wild Thing Mini Dodger - BrassDG09 | 5.49 | ||
| Wild Thing Mini Dodger - WatermelonDG10 | 5.49 | ||
| Wild Thing Mini Dodger - Pink TigerDG11 | 5.49 | ||
| Wild Thing Mini Dodger - Green TigerDG12 | 5.49 | ||
| Wild Thing Mini Dodger - Flame TigerDG13 | 5.49 | ||
| Wild Thing Mini Dodger - Pink - Blue TigerDG14 | 5.49 |
| Spinner Harness - pearl white blade/pink & white body SPH01 | 2.75 | ||
| Spinner Harness - chrome blade/red & white body SPH02 | 2.75 | ||
| Spinner Harness - gold blade/red & white body SPH03 | 2.75 | ||
| Spinner Harness - chrome blade/green & white body SPH04 | 2.75 | ||
| Spinner Harness - gold blade/green & white body SPH05 | 2.75 | ||
| Spinner Harness - fire tiger blade/chrt & orange body SHP06 | 2.75 | ||
| Spinner Harness - rainbow blade/blue & white body SPH07 | 2.75 | ||
| Spinner Harness - copper blade/glow orange & crystal body SPH08 | 2.75 | ||
| Spinner Harness - chrome blade/glow green & crystal body SPH09 | 2.75 | ||
| Spinner Harness - glow pink blade/glow pink & crystal body SPH10 | 2.75 | ||
| Spinner Harness - glow chrt blade/chrt & crystal body SPH11 | 2.75 | ||
| Spinner Harness - glow chrt & green tiger blade/chrt & green body SPH12 | 2.75 | ||
| Spinner Harness - red, white, and orange tiger blade/red and orange body SPH13 | 2.75 | ||
| Spinner Harness - pearl white tiger blade / black and white body SPH14 | 2.75 | ||
| Spinner Harness - pink blue glow blade / pink blue sparkle body SPH15 | 2.75 |
| Trolling Spoons - 2 3/8" fire tiger | 2.25 | ||
| Trolling Spoons - 3 1/4" fire tiger | 2.99 | ||
| Trolling Spoons - 2 3/8" glow fire tiger | 2.25 | ||
| Trolling Spoons - 3 1/4" glow fire tiger | 2.99 | ||
| Trolling Spoons - 2 3/8" rainbow | 2.25 | ||
| Trolling Spoons - 3 1/4" rainbow | 2.99 | ||
| Magic Bullet Lure - Silver 1/8oz or 1/4oz please circle | 2.25 | ||
| Magic Bullet Lure - Blue 1/8oz or 1/4oz please circle | 2.25 | ||
| Magic Bullet Lure - Gold 1/8oz or 1/4oz please circle | 2.25 | ||
| Magic Bullet Lure - Red 1/8oz or 1/4oz please circle | 2.25 | ||
| Magic Bullet Lure - Green 1/8oz or 1/4oz please circle | 2.25 | ||
| Magic Bullet Lure - Chartreuse 1/8oz or 1/4oz please circle | 2.25 |
| Flasher - gold | 5.75 | ||
| Flasher - silver | 5.75 | ||
| Cannon Ball Flashers - silver & brass | 9.99 | ||
| Release with stacker clip | 10.25 | ||
| Release | 7.75 | ||
| Stacker clip | 2.50 |
|
Shipping Fee - please add the corresponding fee to your order. |
Subtotal | ||
|
Subtotal |
Shipping Fee |
CA Tax (7.25%) | |
| $0.01 to $25.00 | $3.50 | Shipping | |
| $25.01 to $40.00 | $4.50 | ||
| $40.01 and up | FREE | Total | |
Make check payable to: Crystal Basin Tackle. Tax (for CA only) and shipping must be added to all orders. Products will be shipped once checks have been honored by the bank. A $25.00 service fee will be charged for any returned check.
Crystal Basin Tackle
PO Box 250, Pollock Pines, CA 95726
530-306-4113