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ORDER FORM

NAME:____________________________________________________________________
ADDRESS:__________________________________________NO.___________________
CITY:_____________________________________________________________________
STATE:_____________________________________________ZIP:___________________
PHONE:(___)_____________________________________________________________
  SEND TO
MILITIA OF MONTANA
P.O. BOX 1486, NOXON, MT. 59853
406-847-2735 Voice/Fax
PLEASE PRINT CLEARLY

QTY.
ITEM #
DESCRIPTION
PRICE
TOTAL
 
 
 
    
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MERCHANDISE TOTAL:           $.
SHIPPING:                                 $5.00
DONATION:                                 $.
TOTAL:                                          $.
SHIPPING: U.S. orders ONLY add $5.00 to total order.

CASH or U.S. POSTAL MONEY ORDERS ONLY

DISCOUNT: Take 10% off your total order if your order is $100 or more, and apply to any item(s) in catalog. EXAMPLE: Total order is $180.00. Apply $18.00 to any other item(s) in catalog.

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