[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]

United States Groopad Order Form

Reply to and fill out this form by March 14th if you reside in the US.

Street Address:
Zip Code:

Number of Groopad 1A (Groo & Rufferto) to order:
Number of Groopad 2A (color/monotone combo) to order:
Total number of Groopads:
Amount due in US funds [1) $12, 2) $19, 3) $26, 4) $32]:

Send US money order, US cheque, or US cash to be received by March 22nd

Ruben Arellano
#306 - 1385 Draycott Rd.
North Vancouver, BC
Canada  V7J 3K9

PS:  Don't forget to include a return mailing label with your payment!