NAME___________________________________________________________________
ADDRESS_______________________________________________________________
CITY_______________________________STATE________________ZIP_____________
E-mail_____________________________________________Phone_________________
ITEM NAME PRICE
1.___________________________________________________________$____________
2.___________________________________________________________$____________
3.___________________________________________________________$____________
4.___________________________________________________________$____________
5.___________________________________________________________$____________
6.___________________________________________________________$____________
7.___________________________________________________________$____________
8.___________________________________________________________$____________
9.___________________________________________________________$____________
10.__________________________________________________________$____________
SUBTOTAL $____________
USPS SHIPPING $____________
TOTAL $____________
Email to confirm availability and determine correct shipping. Checks and money orders should be payable to Nancy Schaut. If you would like to pay with a credit card, I will send you a Paypal invoice. If you are not using Paypal, please print this form and mail to:
NANCY SCHAUT
103 N. 377th Avenue
Tonopah, Arizona USA 85354