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| Please Print this form out and mail to: | ||||||||||||||||||||
| Mel Stanley & Co. | ||||||||||||||||||||
| 2544 North 1500 West | ||||||||||||||||||||
| Clinton, Utah 84015 | ||||||||||||||||||||
| Go to Home | ||||||||||||||||||||
| Attention Belt, Arm Band Number Holder and Accessories Order Form | ||||||||||||||||||||
| Waist Attention Belt Package Qty; _____; (Must Include Waist Size) __________________Price $25.00 Arm Band Number Holder Package Qty ______; (Must Include Upper Arm Size) __________ Price $25.00 The above 2 Packages include the waist, or the arm band number holder, 6 bait sticks, and a plastic tab. When measuring , be sure and measure over sweat shirt or clothing you normally wear when training Replacement Bait sticks ______________ 6 for $6.50 Replacement Plastic Tab ______________$2.50 Add Postage; $5.00 Amount Enclosed: ________________________(Currently we only accept checks or Money Orders) Name;_________________________________________ Address: _________________________________________ City: ______________________ State: ________ Zip: _______ Phone: ( _ _ _ ) _ _ _ - _ _ _ _ E-Mail:;___________________________________________________________ |
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