Description
Name, color, style, etc.		 Size Price per Fly X Quantity (6 fly minimum) TOTAL
Example: BWO Comparadun #18 $2.00 X 6 $12.00
X
X
X
X
X
X
X
X
X
X
X
Fly Total $
Shipping $ 3.00
sub-total: $
Tax 7%
(MN Residents)
TOTAL $

Order Form:

1. Write in the names of the flies you want to order with a minimum of 6 flies per size and style.

2. Calculate the total for each line, then the grand total with applicable tax and shipping.

3. Please send a Money Order, Cahiers Check, or personal check for the total amount to:


Dave Larsen
Whitewater Fly Company
726 Madison Ave. SW
Eyota, MN 55934
(507)545-2670 E-Mail: fliesat726@aol.com

4. Ship flies to:

Name________________________________________________________
Street______________________________________________________
City________________________________State_________Zip_______
Phone__________________________E-Mail_______________________

PLEASE ALLOW 2-3 WEEKS FOR DELIVERY!!