Ship order to:

Name: ________________________________________________________________

Address: ______________________________________________________________

City: _________________ State: _______ Zip: _________      Ph.#: ________________

Description

Qty.

Each Price

Total

Mail orders to:
Joshua Burkhardt
8290 Mercado St.
Navarre, FL   32566
ph # (850) 936-5451

Checks and Money Orders only.
Sorry no C.O.D.'s or Credit Cards.

Sub-total  

Sales Tax
(FL residents 6.5%)

Shipping & Handling 

TOTAL 

$       

$