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Vernon Hicks

d/b/a

ThisTexan.com

 

All Prices Are In USD

 Item Number / Item Name

Price Per Item

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 Total USD

       
       
       
       
       
       
       
       
       
       
       
       

(continue order on back if needed)

Total USD:     $ ___________

 

Name:
Address Line 1:
Address Line 2:
City, State or Province:

Zip/Postal Code:

Country:

Email address:

Please send payment by Check or Money Order to:

Vernon Hicks

P. O. Box 1170

Lake Dallas, TX  75065-1170

United States of America

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