Order Request - Eclipse Glasses

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$3.00 per pair plus postage (if applicable)

Thank you for ordering Eclipse Glasses from the Russellville Lions Club! After you fill out this order request, we will contact you to go over delivery details and provide you with an invoice. Please contact us at russellvillearlionsclub@gmail.com with any questions.

Enter the quantity you would like to order: *

Name / Company Name *

Phone Number: *

Email: *

Preferred Contact Method: *

Phone / Text

Required

Preferred Delivery Method: *

Mail (please provide address in the comment section below, postage added to total)

Pickup in Russellville, AR

Other:

Required

Preferred Payment Method: *

Check/Cash

PayPal (3% fee added)

Required

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