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ORDER FORM (Please Print)
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Your Name:_________________________ Child’s Name:_______________________ Boy / Girl Age:________ Address:___________________________ __________________________________ __________________________________ Phone:____________________________ eMail:_____________________________
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Quantity @ Price
Pkg A: ____ $4.95 $______
Pkg B: ____ $17.95 $______
Pkg C: ____ $19.95 $______
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For Package C - Indicate Quantity Below
_____Rainbow _____Leopard _____White _____Various Bright _____Zebra _____Various Pastel _____Cow _____Camouflage (add.50)
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Cost $______ Add’l charge/camouflage $______ Shipping and Handling $______ TN Residents 9.75% tax $______
Total Enclosed $______
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