To Order:   Fill in this form, print it out, mail it with your check to the address listed below.

Quantity	Bib #	Bib  description	Price
Subtotal
7.25% Tax (North Carolina residents only)
Shipping   1-5@ $1.35ea   6-12 @ $.90ea  over 12 $.65ea
Total

 Comments  

Name:	Make payment payable to:    Marilyn Sorin    Send to:    Dining Designs    Space 475    7201 East 32nd St    Yuma, AZ 85635 Phone (919) 696-2718
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