Bossen Implement, Inc.
300 Washburn Avenue
Hwy. 187 South
Lamont, Iowa 50650
Phone: 563-924-2880
Fax: 563-924-2091
Hours: 9:00 AM - 5:00 PM
Mon-Sat (Central Time)

Farm Toy Order Form
Please print out the form and fax or send to us at the above address.
Or just give us a call with your order. Thank you!

We accept Visa, Master Card, American Express & Discover

Ship To: __________________________________________________
  __________________________________________________
  __________________________________________________
  __________________________________________________
Phone #: __________________________________________________
 Email: __________________________________________________

*******************************
Quantity Stock # Description Price Total
         
         
         
         
         
         
         
         
Farm Toy Catalog (Free with purchase or $5 refundable with first purchase.)

$ 5.00
 

  SUB-TOTAL

 

  IOWA Residents Add 5% Sales Tax

 

  TOTAL

 

Credit Card Orders
Card Number: __________________________________ Exp. Date: ___________

Signature: ____________________________________________________

*Actual freight and handling will be charged on all shipments.

 

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