TKA Store Order Form
Please print this form to order
Name________________________________ Phone #_____________________
Address______________________________________________________________
City______________________State_____________Zip Code_________________
I wish to order the following items:(include all item#s)
1)___________________________________Price___________
2)___________________________________Price___________
3)___________________________________Price___________
4)___________________________________Price___________
5)___________________________________Price___________
Total$_________________
Send Check or money order to:
Ricky Adams
1409 South Street
Leesburg, Fl. 34848
Please allow 4-6 weeks for delivery
Email: radams6469@aol.com
