PRINT OUT THIS ORDER FORM !

PRINT OUT THIS ORDER FORM and MAIL IT IN WITH YOUR PAYMENT!
NAME:____________________________________________________
ADDRESS:________________________________________________
CITY/STATE/ZIP:__________________________________________
PHONE #:____________________ EMAIL:______________________

Description & Colors........................Sizes......Quantity....Price Each....SubTotal
______________________________________________________________
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SHIPPING: is FREE for any item on this page!
TOTAL ENCLOSED: $__________; ...
Make CHECKS payable to: STEVE DEHLINGER
SEND to: Steve Dehlinger, 792 Niantic Avenue, Daly City, CA 94014

Questions? (415) 682-7261 between 7-9 p.m.PST, or Email: Steve at: pickle@artcycles.com
Thanks, and see ya on the gate!