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| My order: | |||
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Item MDP: ____ number of patches at the
price of $6.75 $________ |
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| Item MDLP: ____ number of plates at the
price of $18 $________ (includes $3 shipping and handling for each) |
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| Total amount due: $________ | |||
| Print out this form and
mail with appropriate funds written out to Michigan Darkhouse Angling Association to |
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Michigan Darkhouse
Angling Association, |
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Michigan 