Print this order form, complete it, and mail or fax it to

NORTH AMERICAN LIMOUSIN FOUNDATION
Attn: Promotional Merchandise
7383 S. Alton Way, Ste. 100
Centennial, CO 80112-2339
fax: (303) 220-1884



      MEMBER # _______________________________________________________________________

          NAME _______________________________________________________________________

       COMPANY _______________________________________________________________________

MEMBER ADDRESS _______________________________________________________________________ 

CITY/STATE/ZIP _______________________________________________________________________
  
SHIPPING ADDRESS _____________________________________________________________________

CITY/STATE/ZIP _______________________________________________________________________

         PHONE _______________________________________________________________________



ITEM NO.       QTY.   DESCRIPTION (include size & color)     PRICE EA.    PRICE

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                                                             TOTAL PRICE  ____________


_____  CHECK ENCLOSED (Mail Orders Only)


_____  CREDIT CARD          ______  VISA      ______  MASTERCARD

       CARD NUMBER  __________________________________________________________________

         EXP. DATE  __________   SIGNATURE  __________________________________________