Name: __________________________
Address _________________________
_________________________
Item 1 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 2 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 3 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 4 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 5 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 6 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 7 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Item 8 Description: ______________________ Size: _______ Qty: ___ Price: $__________
Shipping: (If 6 items or less, add $3.00) (If more than 6 items add $0.00) $__________
Total: $__________
Please mail this form with your check or
money order made out to:
Magnetic Personalities
and mail to:
Jim Cannon
89 Curtis Street
Fulton, NY 13069
Please print out form and mail as indicated below.
Thank You
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