ReferenceGuide Order Form For GENDRON, GYM DANDY, HAMILTON, JR. JEEPSTER,KAR BIKE MASON AND PARKER, MIDWEST, MIGHTY MAC, MONARCH
Bruges hotel roomsSimply print out this page, fill in the information and mail it to theaddress below with your payment.
ReferenceGuide Order
GENDRON
| Qty | Item | Price | Total | ||
| _____ | 1922 | $8.00 | _____ | |
| _____ | 1926 | $15.00 | _____ | |
| _____ | 1929 | $20.00 | _____ | |
| _____ | 1934 | $15.00 | _____ | |
| _____ | 1935 | $15.00 | _____ | |
| _____ | 1936 | $12.00 | _____ | |
| _____ | 1938 | $15.00 | _____ | |
| _____ | 1939 | $15.00 | _____ | |
| _____ | 1940 | $15.00 | _____ | |
| _____ | 1940-41 | $5.00 | _____ |
| Qty | Item | Price | Total | ||
| Chania reservacion de alojamiento_____ | 1962 | $2.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | 1958 | $2.00 | _____ | |
| _____ | 1958 | $2.00 | _____ | |
| _____ | 1959 | $2.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | 1958 | $2.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | C1946 | 1 pg | $2.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | 1907 | 12 pgs | $10.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | 1957 | $6.00 | _____ | |
| _____ | 1959 | $4.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | 1967 | $7.00 | _____ | |
| _____ | 1959 | $4.00 | _____ |
| Qty | Item | Price | Total | ||
| _____ | C1925 | $18.00 | _____ |
| Total | |
| Shipping & Handling | $3.00 |
Order Total | _________ |
First Name: ___________________________________________
Last Name:_____________________________________________
Address #1:____________________________________________
Address #2:____________________________________________
City: _________________________________________________
State: _ _ Zip Code: ____________Country: ______________
Phone: _____________________Fax:________________________Email:_________________________________________________
Send Checks or Money Order To:
WHEEL GOODS TRADER
P.O. Box 435
Fraser, MI 48026-0435