D & K Enterprises
FlyReelDots
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Mail Order

D & K  Enterprises Order Form

Name___________________________________________________________________________________________

Address _________________________________________________________________________________________

City____________________________________________       State  _____________    Zip _______________________

Email___________________________________________       Phone ________________________________________

_________________ FlyReelDot _________________ CaseDot    _________________ EarRingDot    # Packs_______

_________________ FlyReelDot _________________ CaseDot    _________________ EarRingDot    # Packs_______

_________________ FlyReelDot _________________ CaseDot    _________________ EarRingDot    # Packs_______

_________________ FlyReelDot _________________ CaseDot    _________________ EarRingDot    # Packs_______

_________________ FlyReelDot _________________ CaseDot    _________________ EarRingDot    # Packs_______

_________________ FlyReelDot _________________ CaseDot    _________________ EarRingDot    # Packs_______

FlyReelDots Ordered      _____                  x $4.99 Ea            =                         _______

CaseDots Ordered           _____                  x $4.99 Ea            =                         _______

 EarRingDots Ordered   _____                   x $4.99 Ea           =                           _______

TOTAL FOR ALL PRODUCTS                                                                                  _______

TN Residents add 9.5% sales tas (.095 x total)                                                ________

Shipping & Handling                                                                                                   $3.00

                                                                                                     Grand Total  $_________

 Make checks payable to D & K Enterprises

Mail to:

Danny D. Sells
D & K Enterprises
325 Delmar Salts Road
Gray, Tennessee  37615

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