Print this page and send it along with your payment...If you can let me know you ordered one and I will make sure it is reserved for you. Thankyou

Light House Productions          ORDER CONFIRM #________________
       L.D.CARTER
       PO BOX 81
       GILA NM 88029-081              
                             
        

Order Form

Ship to:                                         At this time We ask that you send Money order
                                                                                       To expidite service. Personal Checks are accepted
                                                                                       But can take up to 2 Weeks to clear.                              





Payment Method. 
            CHECK  #_______ Money order______ Cashiers Check_____C.O.D._____      


     Itme NO #           Description               Quantity         Cost              TOTAL
_______________________________________________________________________
                                                                                     
$ 19.95





Ordered By ________________________                      Subtotal_________________

                                                                                   Shipping           
$6.50
                                                                                  & Handling
                                                                                               
                                                                                   Insurance  
XXXXXXXX

                                                                              TOTAL DUE  $_____________
THANKYOU

          Special Instructions:_________________________________________________
_______________________________________________________________________




                                                                  

Email me and let me know you ordered one.

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