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Hadeland Lag Merchandise Order Form Make your check out to the Hadeland Lag and mail it with this form to: Verlyn Anderson 904 8th Avenue South Moorhead MN 56560 |
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Hadeland Lag Merchandise Order Form Make your check out to the Hadeland Lag and mail it with this form to: Verlyn Anderson 904 8th Avenue South Moorhead MN 56560 |
| Purchaser Information | Delivery Information (if different from purchaser) |
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Name |
Name
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Mailing Address |
Mailing Address
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City State/Province Zip/Postal Code
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City State/Province Zip/Postal Code
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The following will be used if we need to contact you about your order: |
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E-mail ______________________________________ |
Phone (___)______-_________ |
Prices are in US Currency for shipping via USPS to addresses in the US and Canada only
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Item |
Unit Price |
Shipping |
Price |
Quantity |
Total Due |
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| Bjorkvik Archival DVD | $90.00 | included | $90.00 | X | = | ||
| Amerikaturn 2013 | $15.00 | included | $15.00 | X | = | ||
| Notecards | $15.00 | included | $15.00 | X | = | ||
| Julestemning CD | $25.00 | included | $25.00 | X | = | ||
| Mannskoret KK CD | $15.00 | included | $15.00 | X | = | ||
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Amount to Enclose with this Order -- TOTAL |
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