ORDER FORM

(Printable)

PRINT this form and enclose a Money Order/Cashier's Check for $29.98 ( $25.00 + $4.98) S/H )

(ALL FORMS OF PAYMENT CAN BE MADE OUT TO: HARRY ENDRES)

MAIL TO:    Harry Endres

                   30 Spanish Way

                   Port St. Lucie, FL 34952

ALL ORDERS WILL BE SHIPPED USPS MAIL IN A BUBBLE ENVELOPE.

(Please Fill In The Space Below with YOUR Contact Information)

NAME:                 _____________________________________

ADDRESS:           _____________________________________

                             _____________________________________

CITY/STATE:       _____________________________________

ZIP:                       _____________________________________

E-MAIL:                _____________________________________