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Order Form |
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Please print this form, then fax or
mail your order to R&S Enterprises |
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R&S Enterprises
PO Box 1136, Congress, AZ 85332 |
Email: RoySansom@rsent.net
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Fax Number
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(928) 427-3041
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New Price Increase- Effective January 1, 2012 |
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Pin |
Color |
Color |
Color |
Color |
Color |
Pin Total |
Each |
Total |
5 chicken |
$1.10 |
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10 chicken |
$1.10 |
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15 chicken |
$1.10 |
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5 pig |
$1.10 |
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10 pig |
$1.10 |
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15 pig |
$1.10 |
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5 turkey |
$1.10 |
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10 turkey |
$1.10 |
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15 turkey |
$1.10 |
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5 ram |
$1.10 |
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10 ram |
$1.10 |
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15 ram |
$1.10 |
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1st place |
$1.30 |
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2nd place |
$1.30 |
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3rd place |
$1.30 |
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Match Winner |
$1.60 |
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(Club) Name: _______________________________ |
Contact Person: ________________________ |
Phone: _________________________ |
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(Club) Address: _____________________________________ |
City: ____________________________ |
State: ______ |
Zip: ___________ |
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Shipping Address: ___________________________________ |
City: ____________________________ |
State: ______ |
Zip: __________ |
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Billing Address: ______________________________________ |
City: ___________________________ |
State: ______ |
Zip: __________ |
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Email Address: ______________________________________ |
Date Required: _______________________ |
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Comments: ____________________________________________________________________________________________________________ |