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Introduce your frIends...who would enjoy our brochure & orderIng InformatIon

If the number of spaces for gifts is not enough, simply attach additional orders on a separate sheet

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GIFT MESSAGE

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SIZE QTY

RFor Office Use C I O

NAME:

ADDRESS: APT#

CITY:

STATE: ZIP:

SHIP FOR ARRIVAL:r NOW r Thanksgivingr Christmasr Valentine’s Dayr Easterr Mother’s Dayr Other__________

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CITY STATE & ZIP

GIFT MESSAGE

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RFor Office Use C I O

SHIP FOR ARRIVAL:r NOW r Thanksgivingr Christmasr Valentine’s Dayr Easterr Mother’s Dayr Other__________

NAME

ADDRESS APT#

CITY STATE & ZIP

GIFT MESSAGE

FROM

RFor Office Use C I O

SHIP FOR ARRIVAL:r NOW r Thanksgivingr Christmasr Valentine’s Dayr Easterr Mother’s Dayr Other__________

NAME

ADDRESS APT#

CITY STATE & ZIP

GIFT MESSAGE

FROM

RFor Office Use C I O

SHIP FOR ARRIVAL:r NOW r Thanksgivingr Christmasr Valentine’s Dayr Easterr Mother’s Dayr Other__________

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2 lb Wheel

2 lb Wheel

2 lb Wheel

2 lb Wheel

2 lb Wheel

PLEASE SEND GIFTS TO THE FOLLOWING: