CONTACT/ORDER FORM

0RDER FORM 

Please print this form and mail to:

Marj's Coolegs  2441 W 253rd St. Lyndon, KS 66451 (785-828-4403)

Marj's Coolegs Policy: We will do everything we can to correct any problems. Special merchandise is not returnable unless defective. All merchandise that is from regular stock may be returned in new, unused condition within 14 days with a receipt.

SOLD TO	SHIP TO: (IF DIFFERENT)
Name:  ____________________________________	Name:______________________________________
Street:_____________________________________	Street:______________________________________
State & Zip:_________________________________	State & Zip:_________________________________
Daytime Phone:_____________________________	Daytime Phone:_____________________________

CHECK OR MONEY ORDER MUST ACCOMPANY ORDER: Make checks payable to Marj's Coolegs/Marjorie Vaughn

2441 W 253rd St. Lyndon, KS 66451-9654 (785-828-4403)

PLEASE PRINT CLEARLY!