ORDER FORM

 

NAME _____________________________________

ADDRESS___________________________________

CITY/STATE ________________________________    

COUNTRY & POSTAL CODE______________________

PHONE # ___________________________________

 

AMT            ITEM                                        SIZE                     PRICE

____            ____________________          _____                  _____

____            ____________________          _____                  _____

____            ____________________          _____                  _____

____            ____________________          _____                  _____

 

TOTAL AMOUNT TO SEND INCLUDING S & H COSTS =   $_________

 

MAKE CHECK OR MONEY ORDER PAYABLE TO “PNCS”

We do not accept credit cards.  Please allow 2 weeks for mailing.  

AND SEND to  Alene Reaugh, P.O. Box 207, Siletz OR. 97380  USA

 

If you have questions, please email Alene at softwalk2@yahoo.com