Store Orderform
Print this out, and mail this form to:
Will Brown           or      Dan Kiesel
6 Old Neck Rd.              124 Bailey Rd.
Manchester, MA           Bethel, ME
             01944                      04217

Include check or money order!!
Make checks payable to Will Brown or Dan Kiesel depending on which address the form is sent to...
Name:

Address:

City/State:

Zip Code:

Home Phone:    (        )

E-mail (full address):



Item # :

Price:

Specifications(color, size, etc):
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