Moonglow:  Snail Mail in US Dollars

(1) Please print this form and mail it with your cheque.
(2) WRITE YOUR E-MAIL ADDRESS on the back of your cheque
(3) Make your cheque payable to MOONGLOW
(4) California Residents:  Please add 7.25% sales tax
(5)

Mail your cheque & form to: Moonglow, P.O. Box 111, Gridley, CA:95948, USA

Your Order

Entry Code Title                 Price in US$
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Your Details

Attached is my  for  $  (No cash please)

Your Name
Email Address
Mailing Address
 
City or Town
Zip Code
Country
Telephone
Date

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