| Item Name | Size | Item Number | Quanity | Price | |
| _______________________________ | ___ | ________ | ____ | _________ | |
| _______________________________ | ___ | ________ | ____ | _________ | |
| _______________________________ | ___ | ________ | ____ | _________ | |
| _______________________________ | ___ | ________ | ____ | _________ | |
| _______________________________ | ___ | ________ | ____ | _________ | |
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Merchandise Total:_____________ |
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| Your Shipping Address: |
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Address:________________________________________________________________________________ City/State:_______________________________________ / ___________ Zip:____________________ Telephone:_____________________________ Fax:________________________ E-mail:____________________________ URL_____________________________
Charge Card #:____________________________ Exp. Date___________ Signature____________________________________________________ _____Check _____Money Order |
| Mail to: Northern Digital Classics Suite 96, L'Anse Michigan 49946 |