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Cindy Long
P.O. Box 67
Sykesville, MD 21784

Please print out and mail to the above address. Check or Money Order only, please - No Cash.

Name:      _________________________________________________________________

Address:  _________________________________________________________________

               _________________________________________________________________

City, State, Zip:   _______________________________________________________

Phone Number:  ___________________________ E-Mail Address: ___________________
                                                                                 (will only be used if we need to contact you about this order)

     QTY    Item #               Description                                                 Price     Total

1.   ___   _______     __________________________________   ______  _______

2.   ___   _______     __________________________________   ______  _______

3.   ___   _______     __________________________________   ______  _______

4.   ___   _______     __________________________________   ______  _______

5.   ___   _______     __________________________________   ______  _______

6.   ___   _______     __________________________________   ______  _______


                                                                                                      Subtotal:    _______

                                                                                                     Shipping:     $6.50
                                               
                                                                                                          Total:    _______

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