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| You can print out form or write one out. You must fill out all information on your order line. |
| Name Email Address |
| Address: |
| City: State: Zip: |
| Phone # Include area code In case of any problems with your order |
| QTY | Item # | Item Description | Color | Size | Unit | Total |
| 3 | L220 | Example..Love Signs Goodman | 0 | 0 | 6.25 | 18.75 |
| Method of Payment | Total Price of order | |||||
| Check or money order - US funds payable to Robert Elrod | ||||||
| **Through email or by phone, I will let you know your total with shipping & handling. You will only pay what we are charged. | Postage & Handling | |||||
| ***Allow 4 - 6 weeks for delivery, Inquire for faster shipping & handling | Subtotal | |||||
| We will be offering credit card payment soon | Total enclosed | |||||
| Send check or money order to: Robert Elrod c/o Rising Moon 150 S. Roosevelt #2059 Mesa Az, 85202 |
