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  Item Number          Description                                Quantity               Price Each           Sub Total

 

 ___________              _________________________     _______                _____________     _________________

 

 

 

 ___________             _________________________      _______                _____________     _________________

 

 

 

 

 ___________              _________________________      _______                _____________    _________________

 

 

 

 ___________              _________________________      _______                _____________    _________________

 

 

 

 ___________             __________________________     _______                _____________   _________________

 

 

 

 ___________             __________________________     _______                _____________   _________________

 

 ___________             __________________________    _______                 _____________   __________________

 

 

  Name_________________________________________________________________

  Address_______________________________________________________________

  City,State,Zip___________________________________________________________

  Phone________________ E-mail_______________________ 

  Visa___Master Card___American Express___               or Ca$h_____________

  Card Number_________________________________________ 

  Expiration Date_______________

  Name on Card_______________________________________ 

 

Subtotal:

 

 

Shipping:

 

 

Total:

 

 

Shipping: Add $4.75 for the first item; $ .25 each additional item.
Free Shipping on orders over $50. 
Send check or money order to: Legends & Lore, PO Box 8046, Rapid City SD 57709. 
Mail to: Legends & Lore, Inc. PO Box 8046 Rapid City SD 57709
Phone: 800-888-1495  Fax: 605-343-8226

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