Video/Catalog Order Form

Note: For security reasons, we do not take internet orders...
Please call us with your order or complete this page and fax
or mail it to us...

Easy Rider Canoe & Kayak Co.
P.O. Box 88108 Seattle, WA 98138
Phone: 425-228-3633
Fax: 425-277-8778

Select Package:
Video Package Includes:
Video: 1.5 hr. (DVD) or 2 1/4 hr. (VHS)
plus all four catalogs
$20 ppd.
(a $40 value)
Catalog Package Includes:
All four catalogs
116 Pages Total
$15 ppd.
(a $20 value)
Wash. State Residents: Add 9.5% Sales Tax    --   Overseas Orders: Add $20                                 

Ordered By:

First  Last MI
Address City State Zip
Phone home Phone work E-mail

Ship to: (Only if different from “Ordered by”)
First  Last
Address City State Zip

Method of Payment:
Please charge my    Visa    MasterCard
Name: (as shown on card)
First  Last MI
Card Number Exp. Date
Check or Money Order (U.S. funds only)