Mail Order Form
Print this form. Fill it out and send it with your Money Order (made payable to HCC).

Send Mail Order to:

RusticSilver/HCC
125 East Main Suite 212,  American Fork, Utah 84003

Print out this order form and fill it out  neatly, completely and accurately to ensure the fastest response possible. We may need to contact you if any issues arise with your order. 

Please enclose Money Order made out to HCC (Do not send Checks or Cash).

Orders will be processed upon the receipt of this order form. We only accept Credit Card payments when ordering through the web site, not through the mail order form.
Customer Address Comments and Special Instructions
Name:  
Street Address:  
City:  
State:  
Zip Code:  
Email Address:  
Area Code + Phone Number:  

 

       
Detailed Product Description (Part number if available) Quantity Ordered Price Per Item Quantity X Price = Total Price Per Item
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
Subtotal: Add all items in the "Total Price Per Item" Column:  
Residents of Utah ad 6.25 % sales tax.  
Add Shipping and Handling charges. Most items come with free S&H but there may be some products that require a S&H fee.  
Grand Total: Add S&H and  (Utah Sales Tax if applicable) to Subtotal. Include this amount in your Money Order