Industry Program Order Form

Industry Program Order Form
Welcome to the Timney Industry Insider Program! As an employee of a manufacturing company within the hunting, shooting, and outdoor industry, you are eligible to purchase two Timney products at 30% off MSRP per year. This offer cannot be combined with other offers or coupons.
Company Name*
Name*

First NameLast Name
Work Phone Number*
Please enter a valid phone number.
Work Phone Extension
Work Email*
example@example.com
Personal Phone Number
Please enter a valid phone number.
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing address same as shipping address.

Yes
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Why did you choose Timney?*
Please enter the products you wish to order below. 2 Products maximum. Final Price will be calculated by our team based upon your VIP discount.*
Should be Empty: