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ORDER FORM
Use as a worksheet or for mail ordering. Type in necessary fields (copy/pasting works fine), then print, or print and fill in.
Burl Ford, Rt. 2, Box 670, Westville, OK 74965 Email: bford1949@gmail.com
Orders are shipped via Priority. Purchaser pays shipping and handling, which is
$9.00 per basket. If this payment is not included, it will be necessary
to void your payment and start over.
Item Description
# of Items
Dimensions
(if applicable)
Unit Price
Total
Shipping
-------
$9.00
TOTALS
Name:
Address to ship to
(include P.O. box #,
apt. #, if any):

City:
State:
Zip:
Country (optional):
Email (optional):
Phone: