Mimis Western Gallery
The NRA
Please copy and print this form and mail to address on the form.
| Qty, Item #
Style, Color,
Price, Total ________________________________________ ___l_____ _l______l_________l________l______ __l_____ _l_____ l________ l_______ l______ ___l_____ _l______l_________l________l______ ___l____ __l______l_________l________l______ * Shipping Charge =====>$6.95 Colo 2.9% Sales Tax ___________ Total___________ * Shipping $6.95 Insurance Included Sales and shipping to the U.S.A and Canada only Please make payment to: Rocky Mountain Powder Horns 1346 N 25th Street ( 719 ) 473-3763 Colorado Springs, CO 80904 SHIP TO: Name_______________________ Address______________________ City_________________________ State_________________________ Zip__________________________ |
