Mail This form to: GIlbert Valles - 7317 Parkland dr, El Paso, Texas 79925 

Name:______________________________________________________________

Street:______________________________________________________________

City:__________________________State:_________Zip:_____________________

 

 

Qty.                                Description    Price            Total  
        
       
       

*If shipped out of the continental United States, call for shipping amount. *Sorry NO COD's 

Check or Money Order is enclosed for $_______________