Order Form
For mail in orders please print this form and mail with payment to the address bellow.
| Qty | Kit No. | Kit Name | Unit Price | Total |
| Subtotal | ||||
| Shipping Charges inside USA | Free | |||
| Shipping all other countries | $3:00 | |||
Total Enclosed |
Customer: Ship to: (If different from customer address)
Name:___________________________ Name:___________________________
Address:_________________________ Address:_________________________
________________________________ ________________________________
City:____________________________ ________________________________
State:_______________Zip_________ State:_______________Zip_________
Telephone:_______________________ Telephone:_______________________
E-mail(optional)____________________________
Mail Order Form with check or money order made payable to:
Phyllis B. Stafford
90 Brandywine Lane
Suffield, Ct 06078
Please remit funds in US dollars
Allow 1-2 weeks for delivery
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