Print, fill out and mail, with check or money order, to:
Dave Schultz
10 N. Dunlap Ave.
Youngstown, OH 44509
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Your SHIP TO information:
EMAIL: | ______________________________ |
NAME: | ______________________________ |
ADDRESS_1: | ______________________________ |
ADDRESS_2: | ______________________________ |
CITY: | ______________________________ |
STATE / ZIP: | ___________/__________________ |
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