Video Order Form - - - (Please print carefully)

NAME: _____________________________________________________

ADDRESS: __________________________________________________

CITY: ___________________________ STATE / PROV. _______________

COUNTRY: ______________________ ZIP: ________________________

EMAIL: _____________________________________________________

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. . . .( . ) Those Wonderful Flxibles - - - 29.50 - - - - - Total ____________

. . . .( . ) Quartzsite Rally Video - - - .- - 29.50 - - - - - Total ____________

. . . .( . ) BOTH VIDEOS - - - - - .- ..- . . .- 54.50 - - - - - Total ____________

 

Prices INCLUDE USPS Prioriy Mail Shipping (US)
Canadian orders add 3.75 per order. US funds
. - - - - ..... . . .. Shipping _______

- - - - - - - - - - - - - - - - - - - - - - - - - - - ..... . . . . . . .. Total Order _________

THANK YOU! for your order. Videos are normaly shipped within 24 hours of receipt of order and double boxed to insure safe arrival.
Please print out this form and mail your check or money order
to:
Bud Hoover
R.D. 1 Box 342
Port Allegany, PA 16743

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