ORDER FORM - FLORENCE GUHLEMAN
Quantity
Name
Original/Print
Price
       
       
       
       
       
       
       
       
       
       
       
       
Subtotal
  
Missouri Residents add 6.725% sales tax
Shipping
$15.95
Total
  

Please print this form, complete it, and mail to:

Florence Guhleman
2018 Green Berry Road
Jefferson City, Missouri 65101

Please enclose check or money order and shipping instructions.

Contact Florence at (573) 636-2592 to make special arrangements.

Thank you for your business!