Please print out the order form below

ORDER DATE: SPECIAL INSTRUCTIONS:
CUSTOMER:
ADDRESS:
CITY:
STATE/PROV  ZIP: Country: Phone:
EMAIL ADDRESS:

DESCRIPTION 

Quantity

Price Each

TOTAL $$

Elgin Collectable Mini Clock

 

$25.00US

 
       
       
       

Product Subtotal

   $

Alaska and Hawaii add $5.00US                   Shipping Charges

  $
Total Order   $

Payments - Cash___ Certified Check ___ Money Order___Check One
 US funds ONLY

 Amount Enclosed
  $

Thank you for your order!!

Make Cert. Checks or MO Payable to Dennis Biro in US funds ONLY

Mail Order to:

Time4PT's
20028 Steven Dr.
Trenton, MI 48183