Order Form

 

          Instructions: Print out form, then send completed form and check or money order to the following address:

 

        Michael Lancaster
        24049 High Meadow Dr.
        Golden CO 80401

 

Name:

Address:

 

 

 

 

 

         Item:  Fluorescent Orange Jam Sandwich

            Cassette $10.00..............Quantity ______

                                                    Total: ________

           

 

            Please make checks payable to Michael Lancaster.
            Your order will be shipped within 2 weeks.

 

  Thank you for your purchase!