POSTER ORDER FORM
Please print and mail to:

Motorcycle-Memories
757 Brushwood
Walled Lake, MI 48390
USA

 

 
Qty.
Code No.
Brief Description
Cost Each
Total
         
         
         
         
         
         

U.S. Shipping Costs:  Any quantity, Priority Mail - $5.00
Outside the U.S. - Canada - $5.00,
First Class International, any quantity - $12.00

METHOD OF PAYMENT

____ U.S. Personal Check ____ International Money Order

____ U.S. Money Order ____ Paypal*

*Payment can be made via Paypal to hookman1@comcast.net

Total for Goods  
Tax, MI residents 6%  
Shipping (see left)  
Total Amount Due  


ORDERED BY

Name
Address
City, State, Zip
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