DLGC Order Form

Name & Address

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Daytime Phone_____________ E-Mail Address________________

Item #.........Description............How Many....Cost Each......Total
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Subtotal............................................................................. _______
Shipping............................................................................. _______
Total Enclosed.................................................................... _______

Shipping:
Amount Of Order.......Shipping
$1 - $10 ....................... $4
$11 - $50...................... $5
Over $50....................... $6

All orders are shipped via US Postal Service
Please make check or money orders payable to David Mauldin
Send form with check or money order to:

Dancing Light Gear & Crafts
C/O David Mauldin
P.O. Box 428
Clayton, GA 30525