| Print Mail Order Form: Send To: Line-a-worm P.O. Box 18111 Kearns, Utah 84118 Ship Line-a-worm to: Name______________________________________ Address____________________________________ __________________________________________ State or Province___________________________ Country________________Zip________________ Daytime Phone number________________________ Quantity_______ Enlcosed $____________ |
Price includes shipping |
| Make Check or Money Order payable to: LINEAWORM Do Not Send Cash |
USA 1st Line-a-worm $7.00 or 2 for $12.00 |
Canada 1st Line-a-worm $8.00 or 2 for 14.00 |