Sticker order form  Print this form and send it along with your check to the address below.

Or you can use:

 

Description and Pricing Info.

Quantity Ordered

Extended Price

SIZE 2" x 2 1/2"

Cost $3.00

 

.

$

Shipping/Handling 

All stickers, add $1.00 shipping/handling per order (US), 

$2.00 for international orders. U.S. Funds only.

$

Shipping Information:

TOTAL

$

Name: _________________________________________________ 

Address: _______________________________________________ 

City: _______________________________State______ Zip: ___________ Country:__________

Phone:_(       )__________________________________

E-mail_______________________________________

Make your check payable to:
Mike Lancial  911T Registry

Send this form and payment to:

911T Registry
3029 Georgia Av. S.
St Louis Park, MN USA 55426

thelancials@msn.com