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ORDER FORM - Print
this form and send to:
Janie and Sandy Country Cuzins
1315 Trolley Road
Mohrsville, PA 19541
Please make checks payable to Janie Salzman OR Sandy
Gorbe.
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Mail Order To:
Name: ________________________________________
Address: ______________________________________
Address:_______________________________________
City:__________________________________________
State & Zip Code: _______________________________
Phone #:______________________________________ |
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Payment Method:
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Total Cost |
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*Canadian Orders - Please add $2.00 per item for shipping and handling.
Thank You For Your Order!
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