Mail-In Order Form for the BillyDump

Complete the form below by typing in the required shipping information and selecting the model or models of BillyDump you wish to order. The form will automatically calculate the total amount. Print the form and send with payment (unless paying by credit card) to:
Palomino Mfg.
PO Box 811
McPherson, Kansas 67460

First Name        (no information in this form is sent over the internet)
Last Name          
Street Address 1    
Street Address 2          
(note: Address must be the the credit card billing address if paying by credit card)
City/Town           
State	     Zip Code   - 
Phone*      -  - 	E-mail*  
(* indicates optional field but may be neccessary for us to contact you about your order)

Credit Card Information (fill in only if paying by credit card) Card Type  
Expiration Date    Year   Number (no spaces)

Select the type of BillyDump(s) you would like to order:
(click in the check-box, amounts will be calculated automatically)
Model SS - Shorty Standard		@$44.95 ea. + $9 shipping	   

Model SB - Short Basement		@$44.95 ea. + $9 shipping       

Model RS - Regular Standard		@$59.95 ea. + $12.50 shipping 

Model RB - Regular Basement	@$59.95 ea. + $12.50 shipping 

					    Sub-Total	

If the delivery address is in the state of Kansas -  Click Here 
		(we are required to collect Kansas sales tax)				
				State of Kansas Sales Tax 	

If the delivery address is in Alaska or Hawaii - Click Here   
(Postage rate/unit to Alaska and Hawaii is $11.70/Shorty and $22.00/Regular)
				Total for Shipping	 	

				Total Amount           	
Back to the BillyDump Home Page  		Contact Us