Capt'n Tom's Order Form
Print this form from your printer, Send with your Check or Money Order made payable to:
Tom Ruley
111 North Stuart Street
Baltimore, Maryland,USA 21221
Please Print:
Name ____________________________________________________________
Street ____________________________________________________________
City, State/Province Zipcode _________________________________________
Phone Number ____________________________________________________
Email Address ____________________________________________________
LUCKY RABBIT'S FEET
Two For $5.00... Includes Shipping
It's Good Luck when you give one to a friend!
(I'm not getting rich selling these... I hope you buy at least four...)
Sorry... I cannot give you a color choice right now
QUANTITY ORDERED: ____________
TOTAL ENCLOSED: _____________
Payable To: Tom Ruley... U.S. Dollars Only
THANK YOU FOR YOUR ORDER AND GOOD LUCK!!!... Capt'n Tom