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ORDER FORM		  
  Note Shipping in the continental US is $8.00

Instructions: Print this form, write in your order and mail it to us or fill in the form and email it to us.
Name: ___________________________________________
Address:
for shipping		 ___________________________________________
___________________________________________
___________________________________________
Telephone: (       ) ____-__________
Stock #   Description  Price ea. Quantity Extended
Amount
         
         
         
         
         
         
         
         
         
         
 

Subtotal:

  

Shipping & handling:

  
 

TOTAL:

  
Master Card / Visa
Discover / AmExp		 Expiration Date: _____/_____
Card # ______-______-_____-______
Signature (as it appears on your card): ____________________________
Mail form to:   The Family Tree 494 East Side Rd.
 Wentworth, NH 03283
or Email:   info@foxglove-collectibles.com