O R D E R F O R M

1st item number: Cost:
2nd item number: Cost:
3rd item number: Cost:
4th item number: Cost:

Applicable sales tax and a shipping and handling charge of $5.95 will be added to each order.

Your name:
Your email address:

Your street address for shipping:


City: State:
US Zip or Canadian Postal code:

Your order will be shipped COD within a couple weeks. International orders will require an international money order sent to: P.O. Box 394, Bloomington, IN 47402. If you know of a better way to take international orders, let me know.

Thank you.

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