Cardinal

	Select One 9 1/4" Plate - $80.00 Qty:
	Customer Information
Name:
Address:
City:		St.:		Zip:
Phone:	( ) -
	Delivery Information Same as Above
Address
City:		St.:		Zip:
Phone:	( ) -
Make Checks or Money Orders Payable to: Thomas A. Bennett 620 East Southerland Street Wallace, NC 28466 Items will be delivered after Check or Money Orders have been received.