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The WHEEL WHIZZ order form

Please fill out this order form and send it with your check or money order for $29.25 + $8.75 S&H (total of $38.00) to:

WHEEL WHIZZ Order Fulfilment P.O. Box 787 Huntersville, NC 28070-0787 FIRST NAME

MIDDLE INITIAL

LAST NAME

STREET NUMBER

STREET NAME

APARTMENT OR SUITE NUMBER

CITY

STATE

ZIP CODE

TELEPHONE (HOME)

TELEPHONE (WORK)

TELEPHONE (OTHER)

EMAIL ADDRESS


WHEEL WHIZZ order form