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Fill in the form below, then print this page
and mail it with your check or money order to:

Mark Kershner
400 Stadium Dr. S.
Monmouth, OR 97361


Your Name:
Address:
City, St, Zip
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Item Description
Qty
Price
Extension

$14.95
 

$14.95
 

$14.95
 

$14.95
 

$14.95
 
   
$ 4.950
 
Order Total


I 'd love to hear from you. Please write to me at mark@markkershner.com.