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Subtotal:
_________
($5.00 for first item + $1.00 for each additional item) Shipping:
_________
Total Enclosed:
_________
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Shipping Information
Name: ________________________________________________________________
Address: ______________________________________________________________
City: _________________________________State: _______ ZIP: _______________
Email Address: _________________________________________________________
Phone: ________________________________________________________________
Order Form
(
print, fill out, and send with payment
)
Make Check or Money Order Payable to:
Geoffrey Reynolds
Mail to:
Reynolds Runabouts
792 Mary Avenue
Holland, MI 49424