Order Form

Please fill out and hit submit or print, fill out and manually mail to:
Dick & Pat Lemke 13333 Park Street
Alden, NY 14004
(716)937-1702
misspatsews@netzero.net

SOLD TO
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Terms: C.O.D Money Order Cash

Quantity Size/Color Description Unit Price Total
      Shipping Charges
      NY Residents add 8% sales tax
      Grand Total

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