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Please complete this order form 
for merchandise.

Mail Money Orders/Checks to:
Rose(Watson)Culver
PO Box 1259
Layton, UT 84041



Due to moving back home to Wilmington in August, my store is TEMPORARILY CLOSED. You can still submit your orders if you like so they can be scheduled when I arrive there August 15th...
Can't wait to be back home where I belong...

*First Name
*Last Name
*E-Mail Address
*Form of payment   Money Order
  Check
  Visa
  Master Card
 PS duPont T-Shirt Buy one for $15 / 2 for $28 Add Shipping $4.60 for one, $7.50 for two or more.   Small
  Medium
  Large
  X-Large
  2X
 PS duPont SweatShirt Buy one for $25 / 2 for $48 Add Shipping $4.60 for one, $7.50 for two or more.   Small
  Medium
  Large
  X-Large
  2X
 Mousepad $7.95 Each plus Shipping   PS duPont
  Other
 Mug $10 Each plus Shipping   11 oz Mug
  15 oz Mug
  Stein
 Cheerleader Bear $18.95 Each plus Shipping
 Graduation Bear $12.95 Each plus Shipping
 Hooded Bear $16.00 Each plus Shipping
 Class Picture   PS duPont 1971
  PS duPont 1970
  PS duPont 1969
  Warner 1967
 Jar Openers $3.50 Each PS duPont-School  PS duPont-Dynamiter  
 Credit Card Information: Name on Card, Card#, Exp. Date (If you feel uncomfortable entering your information you can call me @ (801)510-2775
 Questions? Comments? Other Information about Order? Personalized? Enter Quantities of Items
*Shipping Information - Please enter your full mailing address of where you want the merchandise sent.
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