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12848 387th Ave., Aberdeen, SD 57401 605-225-9062 |
NAME: _______________________________________________________________________________ADDRESS: ___________________________________________________________________________
ADDRESS: ___________________________________________________________________________
CITY:_________________________________STATE: ________________ZIP: _____________________
PHONE: (_____)________________ EMAIL ADDRESS: ______________________________________
METHOD OF PAYMENT: Please check one.
____ VISA #___________________________________ ____CASH
expiration date:__________________________MASTERCHARGE #_________________________ ____BANK CHECK OR MONEY ORDER
expiration date:______________________
Number of prints ordered: ____________ X $100.00 ______________
Shipping & Handling 8.50 ______________
Internationl Shipping 22.00 ______________
South Dakota Residents add 6 percent ______________
TOTAL ______________
Weim National 2000 special framed limited addition [limited amount available] 250.00
Eastern Futurity 2000 special framed limited addition [limited amount available] 250.00
Western Futurity 2000 special framed limited addtion [limited amount available] 250.00
Southern Futurity 2000 special framed limited addition [limited amount available] 250.00
Shipping in the lower 48 states on framed addition add 30.00
Please list which addition you are ordering:
Name # ordered Amount______________________________________________________________ X _____ X ______________
South Dakota Residents add 6 percent ______________
TOTAL ______________
Please take a moment to help us by telling us how you found us, internet, magazine add, etc.
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Thank you for your order. Please allow four to six weeks for delivery.
EMAIL US AT: wayneme@nrctv.com
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