Important:
Please print the form and mail it with
your check to the following address:
Mitzi Perdue
1529 Woodland Road
Salisbury, MD 21801-6738 USA
Sold to:
Name: _______________________________________________
Street Address: ________________________________________
City: _____________ State: _____________ Zip:
_____________
Email Address: _______________________________
Telephone Number: ___________________________
Ship to:
Name: _______________________________________________
Street Address: ________________________________________
City: _____________ State: _____________ Zip:
_____________
Email Address: _______________________________
Telephone Number: ___________________________
Please enter the quantity of the items you wish to order
in the fields below, then total the amounts and add Maryland
Sales Tax if appropriate:
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