Order Form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT (please make check or money order payable to Tom Halverson) Tom Halverson 46962 269th Avenue Laporte, MN 56461 Phone: 218-224-3615 \| E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. \| Website: www.tomhalverson.com
Circle Payment Method: Check Money Order Visa Mastercard
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Item Name and Description	Price Each	Quantity	Total
Angels	$25.00
Fairies	$25.00
Mermaids	$25.00
Boys	$25.00
Couples	Contact

Subtotal:
Shipping and Handling: $5.00
Minnesota Residents Please Add 7.375% Sales Tax:
		Total :

Tom Halverson