The Bird Screen Company
Order Form
After filling out this order form, print it and send it, with payment, to: The Bird Screen Co.
2469 Hammertown Rd.
Narvon, PA 17555-9730

First Name:
Last Name:
Street Address:
(Must be a street address. We cannot deliver to a Post Office Box.)
Street Address (2nd line):
City: State: Zip Code:

Item
Quantity
Price
Total
New Standard Birdscreen 24" W
$20.00
New Standard Birdscreen 30" W
$22.50
New Standard Birdscreen 36" W
$25.00
Original Weighted Bird Screen 24" W x 2.5' H.
$20.00
Original Weighted Bird Screen 24" W x 3' H.
$21.50
Original Weighted Bird Screen 24" W x 4' H
$23.00
Original Weighted Bird Screen 24" W x 5' H
$24.50
Original Weighted Bird Screen 24" W x 6' H
$26.00
Original Weighted Bird Screen 30" W x 2.5' H
$21.50
Original Weighted Bird Screen 30" W x 3' H
$23.00
Original Weighted Bird Screen 30" W x 4' H
$24.50
Original Weighted Bird Screen 30" W x 5' H
$26.00
Original Weighted Bird Screen 30" W x 6' H
$27.50
Original Weighted Bird Screen 36" W x 2.5' H
$23.00
Original Weighted Bird Screen 36" W x 3' H
$24.50
Original Weighted Bird Screen 36" W x 4' H
$26.00
Original Weighted Bird Screen 36" W x 5' H
$27.50
Original Weighted Bird Screen 36" W x 6' H
$29.00
Original Non-Weighted Bird Screen 24" W x 2.5' H
$20.00
Original Non-Weighted Bird Screen 24" W x 3' H
$21.50
Original Non-Weighted Bird Screen 24" W x 4' H
$23.00
Original Non-Weighted Bird Screen 24" W x 5' H
$24.50
Original Non-Weighted Bird Screen 24" W x 6' H
$26.00
Original Non-Weighted Bird Screen 30" W x 2.5' H
$21.50
Original Non-Weighted Bird Screen 30" W x 3' H
$23.00
Original Non-Weighted Bird Screen 30" W x 4' H
$24.50
Original Non-Weighted Bird Screen 30" W x 5' H
$26.00
Original Non-Weighted Bird Screen 30" W x 6' H
$27.50
Original Non-Weighted Bird Screen 36" W x 2.5' H
$23.00
Original Non-Weighted Bird Screen 36" W x 3' H
$24.50
Original Non-Weighted Bird Screen 36" W x 4' H
$26.00
Original Non-Weighted Bird Screen 36" W x 5' H
$27.50
Original Non-Weighted Bird Screen 36" W x 6' H
$29.00
Total Screens
Subtotal
Tax (6% PA residents only)
Shipping ($6 for 1st Screen, $2.50 ea additional)
Total

Check one:
VISA MASTERCARD American Express Check Enclosed Money Order Enclosed

Credit Card Number: Expiration Date: (MM/YY)


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