Printable Order Form for Mailing

 Adirondack Flagpole Order Form

Your full name:  		 
Street Address:   
City:       State:       ZIP:   
Home Phone:       Work Phone:   
E-mail:       Preferred contact method:   
     Flagpole Specifications:
 Yellow Pine - Painted Yellow Pine - Varnished Northern Red Oak - Varnished
  q  18' [ $  ] q  18' [ $  ] q  18' [ $  ]
  q  24' [ $  ] q  24' [ $  ] q  24' [ $  ]
  q  28' [ $  ] q  28' [ $  ] q  28' [ $  ]
  q  32' [ $  ] q  32' [ $  ] q  32' [ $  ]
  q  36' [ $  ] q  36' [ $  ] q  36' [ $  ]
     Additional comments or instructions:

              Please provide me with an quote for installation at my site.  
              Please contact me immediately,  I have additional questions.


You will be contacted by our sales representatives when your Order is received.

Please Mail this form to:
ADIRONDACK FLAGPOLE COMPANY
1 DEREK DRIVE
KEESEVILLE, N.Y. 12944