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Print
this Order Form out and Mail it to:
John
D. Baker
9242 N. Texas Ridge
Gosport, IN 47433
Make Check or
Money Order payable to: John D. Baker
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Ship
To:
Name________________________________________
Street Address________________________________ City_________________________________________
State_________________ ZIP___________________
(circle one)
MasterCard/Visa Check Money
Order
Credit Card #_________________________________
Name on Card ____________________Exp Date_____
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