| ORDER FORM |
| Please print out this form fill it out and send it to us at 7900 336th Avenue Burlington WI 53105 With a check or money order thank you |
| Required field are in green |
| Name and Address for shipping |
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| Email address |
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| Phone number Area Code First |
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| Item Description |
| Quantity |
| Price |
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| _________________________ |
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| Subtotal before shipping and handling |
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| Shipping and handling charges |
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| Total amount due |
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| Thank you for your order come again |
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