422 All Stars Order Form
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To order print out a copy and make check or money order payable to 422 All Stars.

Mail to:

         422 All Stars
         P.O. Box 157
         Oaks Pa. 19456

Shipping Address

Your Name: _______________________________________________________________

Street Address: ____________________________________________________________

City: ________________________________________ State: ______ Zip: _________

Item                                     Description - Size                           Quantity           Cost

1 ________________    _________________________    _________    ________

2 ________________    _________________________    _________    ________

3 ________________    _________________________    _________    ________

4 ________________    _________________________    _________    ________

5 ________________    _________________________    _________    ________

6 ________________    _________________________    _________    ________

                                                                                                             Subtotal   ________

                                                                                         Shipping / Handling   ________

                                                                             Add 6% for Pa. Sales Only   ________

Thank you for your order !                                                                     Total   ________

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