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Order Form

Name _____________________________________________ Phone Number ______________________________

Address ___________________________________________ E-mail Address ______________________________

City ______________________________________________ State / Province ________ Postal Code ___________

Country (if other than US) _____________________________ Order Date _________________________________

Catalog #

Size

Color/Description

# of Items

Price

Subtotal

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Add Charges Here

Amount

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Discount (if applicable)

Minus

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Shipping: Books 1-5 items add $5.00; 6-10 items add $10.00; 11-20 items add $15.00

Flag Man Products add $5.00 extra for each item.

Tapes, CDs & DVDs add $5.00 for 1 item, $7.00 for 2 items, $8.50 for 3 items, $10.00 for 4 or more items.

Shipping Charges

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Total Amount Due

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Office Use Only

Date Received _____________________________________

Allow 4-8 weeks for delivery

Send Check or Money Order (no Credit Cards please) payable to T.R. Michels to:

Date Shipped _____________________________________

Trinity Mountain Outdoors, PO Box 284, Wanamingo, MN 55983

507-824-3296 TRMichels.com

Back Order _______________________________________

Packed By ________________________________________