Name: ________________________________________
Ship To: _____________________________________
_____________________________________
_____________________________________
_____________________________________
Phone ______________________________ Email: ______________________________
QTY Item Price Extended
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Subtotal________
GA add tax (6.00%)________
Shipping/Handling _______
TOTAL________
GiveAnything.com Gift Certificate: ______________
expiration date: ______________
Mail your payment and order to:
Jack Davis
1116 Sixth Ave
Albany, GA 31707
Email: woodpop@worldnet.att.net