Name: ________________________________________________________
Shipping Address: _______________________________________________
City:___________________________ State: ______ Zip: _______________
Phone: _______________________ Email: ___________________________
| Qty | Description | Price | Amount | ____ | Red Wine Dressing (1 Pack) | $ 4.95 | ___________ | ____ | Red Wine Dressing (3 Pack) | $13.95 | ___________ | Total | ___________ | Shipping | & Handling | ___________ | TOTAL | ___________ |
Checks or Money Orders only please.Thank You For Your Order
Make checks out to: Rich Thorne
Write: PZ Order in the Memo (For) area of you check.
Please allow 10 days for shipping
Mail Orders To:
Rich Thorne
6547 Hawthorne Lane
Hartford, WI 53027
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