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Print this page and send with your check to:

Tom Porter
High Country Cruisers
57 Neshoba Ct.
Ellijay, Ga. 30540
 

I would like to order High Country Cruisers patches in the quantity indicated below.

Item

Quantity

 

Price

Amount

Large Patches (10")

 

X

$20.00

 

Small Patches (3 1/2")

 

X

  $5.00

 

My Check enclosed for Total Due of ----------------

$

Please send them to:

Name _________________________________
Address _______________________________
City___________________________________
State _____  ZIP _______