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Vernon Hicks

d/b/a

ThisTexan.com

 

All Prices Are In USD

 Item Number / Item Name

Price Per Item

 Number of Items

 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

1515 Rio Grande Dr. Apt. #1916

Plano, TX 75075

United States of America

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