kswanson3@wi.rr.com
Printable Order Form for Cards
item
# of lots
price
 

cost

 
09470
x $12.50 =
$  
09471
x $12.50 =
$  
09603
x $12.50 =
$  
09631
x $12.50 =
$  
09753
x $12.50 =
$  
09844
x $12.50 =
$  
09950
x $12.50 =
$  
10151
x $12.50 =
$  
10332
x $12.50 =
$  
10466
x $12.50 =
$  
10834
x $12.50 =
$  
10835
x $12.50 =
$  
10845
x $12.50 =
$  
      $   SUBTOTAL
      $ 0.00 Shipping and handling - included
      $ Wisconsin residents add 5.1% sales tax
      $   TOTAL
Payment (check one)  

Checks and money orders payable to:

Ken Swanson LLC
301 Lakecrest Ave.
Racine WI 53402-3813
262.994.1310
kswanson3@wi.rr.com

  Check #  
  Money Order #  
  MasterCard  
  Visa  
         
card number exp signature
Submit credit card information by email at your own risk.
Your Shipping Address (please include your name and email / phone number):