P.O. Box 89, Bennington, NH 03442-0089
Phone/Fax: 
(603) 588-6765
 
Billing Address: Shipping Address:  (if different than billing)
Name: Name:
Address: Address:
City: State: Zip: City: State: Zip:

Telephone:

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Method of Payment (check one):   Check or Money Order Merchandise Total    
MasterCard      Visa             Amercian Express Shipping (see chart)     
  Handling   

$ 2.50

Credit Card Number:  _____________________________ Express Delivery (call for quote)     

Card Expires:
     ___ / ___
Grand Total  
 

Signature: _______________________________________

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