Ship to:



   Name    _____________________________________ Phone # _____________



   Address ___________________________________________________________



   City    __________________________ State ______________ Zip _______



   email   ___________________________________________________________

ITEM

COLOR

SIZE

QTY.

PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB TOTAL

 

CA. RES. ADD 8.25% TAX

 

POSTAGE, ADD $3.00 or 10% of sub total, whichever is larger.

 

TOTAL ENCLOSED

 
please make checks payable to: Gail S. Dash
and mail to:

Gail S. Dash
P.O. Box 280322
Northridge, CA 91328

questions? call (818) 77BWDOG [772-9364] or kuvaszresq@aol.com

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