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Picnic Table order Form

To order you need to have the default email provider configured correctly on your machine, otherwise call the phone number listed in the Daily Journal Classifieds.

Personal


First name:

Last name:

Daytime area code and phone number:

Evening area code and phone number:

Address


Street address:

City:

State: Indiana

Zip code:

General


Each tables costs $150.00. Please note the number of tables wanted in the comments.

Comments:



All of the above fields must be completed!!