Print this form on your printer
Then mail with check enclosed to our
address below.
Ordered by:
Your name ____________________________________
Address_______________________________________
City/State___________________________________________
Zip________________
Your phone # _____________________
E-mail address__________________________
Qty Book Title Price Each Total
____ An Outdoor Adventure Guide to $8.95 $_________
Jim Thorpe & the Western Poconos
Shipping (USA) only Free
Total Amount $__________
Make Checks Payable to: David Matsinko
Mail to: David Matsinko
65 White Oak Rd.
Lehighton, PA 18235
Then mail with check enclosed to our
address below.
Ordered by:
Your name ____________________________________
Address_______________________________________
City/State___________________________________________
Zip________________
Your phone # _____________________
E-mail address__________________________
Qty Book Title Price Each Total
____ An Outdoor Adventure Guide to $8.95 $_________
Jim Thorpe & the Western Poconos
Shipping (USA) only Free
Total Amount $__________
Make Checks Payable to: David Matsinko
Mail to: David Matsinko
65 White Oak Rd.
Lehighton, PA 18235
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