| Name: | ________________________________________________ |
| Street: | ________________________________________________ |
|   | ________________________________________________ |
| City, St, Zip: | ________________________________________________ |
| Phone: | ________________________________________________ |
|
Payment (Circle One) Check Money Order |
|
Please do not send cash. Checks must clear before shipping. Please allow 2 to 4 weeks for delivery. |
|||
| QTY. | DESCRIPTION | PRICE/ITEM | TOTAL AMOUNT | |||
|---|---|---|---|---|---|---|
|
Make check or money order payable to: ScoFamCo |
SUBTOTAL | |||||
| Minnesota residents add 6.5% sales tax | ||||||
| Shipping & Handling | ||||||
| TOTAL | ||||||
| Thank you for your order! | ||||||