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NAME: _____________________________________________________ ADDRESS: __________________________________________________ CITY: ___________________________ STATE / PROV. _______________ COUNTRY: ______________________ ZIP: ________________________ EMAIL: _____________________________________________________ | |||||||||||||||||||
========================================================== . . . .( . ) Those Wonderful Flxibles - - - 29.50 - - - - - Total ____________ . . . .( . ) Quartzsite Rally Video - - - .- - 29.50 - - - - - Total ____________ . . . .( . ) BOTH VIDEOS - - - - - .- ..- . . .- 54.50 - - - - - Total ____________
Prices INCLUDE USPS Prioriy Mail Shipping (US) - - - - - - - - - - - - - - - - - - - - - - - - - - - ..... . . . . . . .. 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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