order form

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Order Information - Print Out Form

Ship To:

Name____________________________________________________________________

Address__________________________________________________________________

City_____________________________________State___________Zip_______________

Email_____________________________________________________________________

Item Description	PRICE	QTY.	TOTAL
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$
SUBTOTAL
SHIPPING AND INSURANCE (Determined Per Individual Order)			$
TOTAL
Email joe@joepetro.com for shipping and payment information

PLEASE CONTACT US:
JOE PETRO III
P.O. BOX 22888
LEXINGTON, KENTUCKY 40522-2888