Order Form

Ship to:

Name: _______________________________________________________

Address: _____________________________________________________

City: ________________________ State: _____ Zipcode: __________

Item Description QtyPrice

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Shipping and Handling $3.00

Total _________

Please print out this form and mail with check or money order to:

Michael Pino

4167 E 9th Ct

Hialeah, FL 33013

Please allow 2-3 weeks for shippment