Pin Order Form

Note: If you are unfamiliar printing frames from the internet, you might wish to take a look at the printing directions for this website before you continue to print out the following order form.

If possible when ordering pins and other items, please enclose a printout of the item desired with it circled.

Name:____________________________________________________
Address:_________________________________________________
_____________________________________________________
City:____________________________________________________
State/Province:__________________________________________
Postal code:________________
Country:____________________
Daytime phone number:___________________________
Evening phone number:___________________________
E-mail address:_________________________________

Items to be ordered: (please provide pins by group set, years, or pin set and pin number given with each set) Please note: Some pins may not always be available at time of order.

Pin Set and Description	Year	Pin Set	Pin Number	Quantity	Price






				Sub Total
				6.5% ND Sales Tax
				Postage
				Total

Please make payment by money order only. Please do not send cash or personal check, and they are not available by credit card. All money orders must be in U.S. dollars.

Total amount for pins or other items ordered:
$_____________________

Please add postage of $4 for all orders in the USA; $6 for all orders in Canada; $8 for all orders outside USA/Canada.

Send order and payment to:
Michael M. Miller
1615 11th Avenue North
Fargo, ND 58102
USA

Thank you!

Please inquire by e-mail for further questions.
dakotammm@aol.com

Main Page