Mop, Broom and Lightbulb Order Form

  

 

If you are in Oak Ridge, Tennesse, the Oak Ridge Lions Club can take your order any time. Complete the form below and submit it to register your order for Mops, Brooms, and Lightbulbs from the Oak Ridge Lions Club. Note that you must provide contact information (Name, email address, address, and telephone number), and press the "calculate total" button before your order can be submitted.

We are not able to fill orders outside of Oak Ridge, Tennessee due to prohibitive shipping costs, but we will attempt to refer you to a club in your area that may respond to your request. In such cases, merchandise prices may differ from those we offer.

A copy of your order will be sent to the email address you provide below.

Once your order has been received, we will contact you to arrange delivery. Payment (cash or check made to "Oak Ridge Lions Club") is required at the time of delivery of your order.

  
First Name *
Last Name*
Email *
Address 1*

Address 2
City*
State*
Zip*
Telephone *

I would like to order the following items:
Item Price Quantity
Blind Made Brooms $7.00
Blind Made Mops (string type) $5.00
Small (toy size) Blind Made Brooms $4.00
Small (toy size) Blind Made Mops $4.00
17W Compact Fluorescent Bulb (lumens equiv. to 70W Incandescent) $4.00
23W Compact Fluorescent Bulb (lumens equiv. to 100W Incandescent) $5.00
6 Packs of Light Bulbs 60W $5.00
6 Packs of Light Bulbs 100W $5.00
6 Packs of Light Bulbs Mixed - 2x60W, 2x75W, 2x100W $5.00
4 Packs of Light Bulbs 40W $4.00
4 Packs of Light Bulbs 75W $4.00
3-Way (50W/100W/150W) Bulbs (each) $3.00
$  

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