Mail Cash, Check or Money Order to: T. Smith, 3217 Essex Drive, Mansfield, TX 76063
-Orders are processed as soon as they are recieved-
Print your name, address and phone number below:
Name:___________________________________________
Address:________________________________________
________________________________________________
City, State, & Zip:_____________________________
Phone:__________________________________________
Date:___________________________________________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
Qty_____Item________Desc____________________Price $________Total $_________
_______________________________________________________Subtotal $_________
_______________________________________________________Shipping $ 4.00
____________________________________________________Total Order $_________