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ROUND-A-BELT ORGANIZER
ORDER FORM
 

For your security we only accept orders by mail .

To order your Round-A-Belt Organizer:

Please print and fill out this order form:
Make your check or money order payable to Lakeview Design.
Send this form along with a check or money order, via U.S. Postal Service, to the address below.

Lakeview Design Inc.
P.O. Box 20985
Greenfield, WI 53220

Quantity
Total
______  _________ Round-A-Belt Organizer only $7.95 U.S. dollars
   
   
_________ Add $7.50 domestic shipping and handling for the first Round-A-Belt.
 ________ Please add $4.50 for each additional Round-A-Belt Organizer. 
   
_________ Grand Total

The amount of my check payable to Lakeview Design  $___________U.S. dollars.

Name____________________ E-mail address_____________________

Shipping address________________________________ Telephone #______________

City__________________State________Zip_________Country_______

Please allow 3 to 5 weeks for delivery. 

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