[Company Logo Image]

Servicing the Smoking Pipe Repair Industry for
70 Years!


 

Order Form

Send Order Form to: Tim West Pipes/JH Lowe & Co.
                                      1588 Grayling Ct.
                                     Columbus, Ohio 43235

 

List pipes by maker or description, then describe the problem for each pipe.
1.                                                                                                                                                             
2.                                                                                                                                                             

3.                                                                                                                                                             
4.                                                                                                                                                             
5.                                                                                                                                                             
6. (More Pipes List on Back of sheet)                                                                                                         
Special Requests List Here:                                                                                                                        
                                                                                                                                                               

Name:                                                                                 
Street:                                                                                 Apt:                           
City:                                             State:                               Zip:                           
Country:                                                  Ohio County:                                         
Phone (       )                                 Fax # (       )                                                    
E-mail Address:                                                                                                    
Ohio Residents add 7.5%  Sales Tax Total $               (includes shipping costs)

Accepted Payments - Visa, MC, AX, DISC, Paypal, Check, Money Order.
Credit Card Type:               Credit Card #:                                                                                  Signature:                                                          Exp. Date:        /          
Security Code for VISA MC DISC 3 #'s on back _ _ _   Security Code for AX 4 #'s front _ _ _ _
Credit Card Billing Address: (if different than above) write it in below. Yes / No
Street:                                                     Apt:                P. O. Box:                                    City:                                    State:           Zip:              Country_______________
Check Amount: $               Check: #               Check Date:         /         /               

PayPal acct. address for transfers: Order@JhLowe.com  or  Info@JhLowe.com

Shipping requirements:
How do you want your pipes returned? (Circle one)  USPS or UPS
How do you want it shipped? (Circle one) Ground, Airmail or Express (overnight) 
Do you want Insurance? Yes / No Signature upon delivery: Yes / No
Minimum Billing for shipping is $7.95, any shipping weight above minimum is exact cost.


*Fill in the charge card number info if sending in by US mail.      

*Do not fill in Charge Card Box if sending by e-mail please phone in the number.                                                                                                                                                                                                                                                                                                        

Catalog # Quantity Units

Description

Unit price Total

 

     

Shipping chg. $6.95

 min.**

Ohio

 Resident

Local County  Sales Tax Due

 __.__%

 Total Due

  

*VISA, MC, AM. X., DINERS & DISCOVER - call 614-761-3465 with chg. number.

PayPal transfer payments accepted to email addresses: order@jhlowe.com  &  info@jhlowe.com 

**Shipping minimum $7.95, actual shipping charges due on packages above Minimum Shipping Weight. 

 

Send mail to info@jhlowe.com with questions or comments about this web site.
Last modified: March 19, 2017