RLC PATCH ORDER FORM
Mail check or money order in U.S. funds and this completed form to:
| Piper’s
Enterprises RLC Patches 6115 Robinson St. Overland Park, Kansas USA 66202 |
|
| Prices above are in US Dollars. |
| Patch Size | Border (Red or Black) |
Quantity X Price | = Cost |
Kansas, USA, residents add 7% sales tax.
Add $2 for shipping outside of the U.S.
TOTAL COST ………………… $
Shipping Information / Sold To:
Name: _____________________________________
Street Address: _____________________________________
City/State/Country: _____________________________________
Zip (or postal code): ________________ Phone: _______________
