Quantity	Item	Price Each	Total
	Tax (Minnesota residents 6.5%)
	Shipping $1.32 per item
	GRAND TOTAL

Order Form

Mail with check or Money Order to:
Scott Young
902 Eldkom Avenue
Waseca, MN 56093

SHIP TO:

Name______________________________________________________

Address_______________________________________________________________________

City________________________________________State_____________ Zip______________

Phone (optional)_____________________________

E-mail (optional):________________________________________________________________

Date:________________

THANK YOU! I appreciate your business!