United We Stand !



http://www.ravencrest.net/OUR_HEROS/dog.html

Printable Order Form

Please print this form and send with your payment to:
Tina Olson
PO BOX 111
Joyce, WA 98343




NAME: ________________________________________

ADDRESS: _____________________________________

CITY: _________________________________________

STATE: __________________ ZIP: _________________

EMAIL: __________________________________________


BUTTON #: ____ QUANITY: _____ X $4.00 = ________
BUTTON #: ____ QUANITY: _____ X $4.00 = ________
BUTTON #: ____ QUANITY: _____ X $4.00 = ________
BUTTON #: ____ QUANITY: _____ X $4.00 = ________
BUTTON #: ____ QUANITY: _____ X $4.00 = ________

spacersub T = ________
spacerPostage =$   2.00___

spacerTOTAL = ________

Send $ 4.00 for each button ordered.
Please add $2.00 to TOTAL order for postage.

Please make payment with personal check or Money order.
Payable to : TINA OLSON
Thank You