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American Eskimo Rescue and Sanctuary of Iowa
2567 Kennedy Street
St. Charles, IA  50240    641-764-2925

ORDER FORM

Ship to:

Date:

Name:

E-Mail Address  

 

Address:

 

City/State/Zip:

 

Phone:

Quantity

 

 Price Total
Please Add

 

 $

 

$

 

Large "Eyes of the Soul" T-Shirt

$16.50

 $

 

  X Large "Eyes of the Soul" T-Shirt

$16.50

 $

       

 

 

       

XXX Large "Eyes of the Soul" T-Shirt

$16.50

 $

Payment Method

 

Sub-Total

$
Money Order
Check           
Cash             

Make Checks Payable To:
American Eskimo Rescue of Iowa
2567 Kennedy Street
St. Charles, Iowa 50240

Shipping & Handling
$4.30 First Class Mail 
Please add $2.00 for each additional shirt.


$
 

 

Grand Total
Please Add

$