ORDER FORM

                                                                                                                               TOTAL
                                      QTY      GUIDE    TYPE    PRICE    S&H       EACH

_______ IHB 3-Hole  $6.95 $3.50 $10.45
_______ IHB bound $8.95 $3.50 $12.45
_______ BNSF 3-Hole $7.95 $3.50 $11.45
_______ BNSF bound $9.95  $3.50 $13.45
_______ IC 3-Hole $6.00 $3.50 $9.50
_______ IC bound $8.00 $3.50 $11.50
_______ CN-GT 3-Hole $6.00 $3.50 $9.50
_______ CN-GT bound $8.00 $3.50 $11.50

Total Amount Of Order: $

MAKE CHECKS/MONEY ORDERS PAYABLE TO: Dennis Parejko
 
 

SHIP TO: ____________________________________

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MAIL TO:  Dennis Parejko
                1-B  Cobblestone Court
                Palos Hills, IL 60465