Sign your name; your signature:

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Print name and address, clearly please.
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Send; $55.00 / in USA
Send; $55.00 / Canada
Send; $55.00 / Europe /
Over seas & South America .
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All moneys must be paid in USA currency of correct value:
Check or Money Order.
(Allow 4 to 6 weeks for delivery)
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Mail all Orders to;
Becky Andreasson
2469 Oak Level Rd.
BASSETT, VA. 24055
USA
Thank You For Your Order

Becky Andreasson

Please print out this page,
fill in all your information
and send it to the address above.