MAIL IN ORDER

ORDER FORM: AUTOMATIC CHICKEN COOP DOOR OPENER

Please charge my card $184.94 + $22.00 Shipping (USD)

Shipping Information:

First Name	_______________________________
Last Name	_______________________________
Address	_______________________________
	_______________________________
Zip Code	_________
State	______
Phone Number
Email Address	_______________________________

Make Check Payable to "James Smith"

Print This Form and mail it to:

234W 166S
Valparaiso IN
46385
USA

Automatic Chicken Coop Door Opener