Order Form

  
 
Please print this form, then fax or mail your order to R&S Enterprises
  
.
R&S Enterprises PO Box 1136, Congress, AZ 85332
Fax Number
(928) 427-3041
New Price Increase- Effective January 1, 2012
Pin
Color
Color
Color
Color
Color
Pin Total
Each
Total
5 chicken
           
$1.10
  
10 chicken
           
$1.10
  
15 chicken
           
$1.10
  
5 pig
           
$1.10
  
10 pig
           
$1.10
  
15 pig
           
$1.10
  
5 turkey
           
$1.10
  
10 turkey
           
$1.10
  
15 turkey
           
$1.10
  
5 ram
           
$1.10
  
10 ram
           
$1.10
  
15 ram
           
$1.10
  
1st place
           
$1.30
  
2nd place
           
$1.30
  
3rd place
           
$1.30
  
Match Winner
           
$1.60
  
Sub Total
$
Tax (AZ Residents, please add 0.0735%)
$
Shipping and Handling
$ 5.20
Grand Total
$
(Club) Name: _______________________________
Contact Person: ________________________
Phone: _________________________
.
(Club) Address: _____________________________________
City: ____________________________
State: ______
Zip: ___________
.
Shipping Address: ___________________________________
City: ____________________________
State: ______
Zip: __________
.
Billing Address: ______________________________________
City: ___________________________
State: ______
Zip: __________
.
Email Address: ______________________________________
Date Required: _______________________
.
Comments: ____________________________________________________________________________________________________________