FOO DOG STATUE ORDER FORM

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Foo Dog Statue ----------------------------------------$ 29.95

Federal Express ground Shipping--------------------$8.00

Packaging ---------------------------------------------------$2.00

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Sub Total ----------------------------------------------------$39.95

Sales Tax if you live in FL add 6% ( $2.40 )------

TOTAL ------------------------------------------------------

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Enclose PERSONAL Check or Money Order

Payable to SKELLY CONSTRUCTION CO.

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PLEASE SEND A FOO DOG STATUE TO

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Name : ------------------------------------------------------------------------------------------

Address: ----------------------------------------------------------------------------------------

City :-----------------------------------------------------------------------------------------------

State :----------------------------------------------Zip :-----------------------------------------

Phone :-------------------------------------------------------------------------------------------

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Please Mail Your Order to

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Skelly Construction Co.

P.O. Box 3305

Lantana, Florida 33465

Please print this

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NOTE : If you printer is

not working or a printer

is unavailable, you may

hand print your order on

a sheet of paper.

Thank You for Your Order

Your Business is Greatly Appreciated. - Ken

WE ACCEPT

PERSONAL CHECKS

MONEY ORDERS

BANK CASHIERS CKS