Name:
___________________________________________________________
Address:
_________________________________________________________
City: __________________________________ State :_____ Zip:
____________
Phone: (______)__________________
Check _____ or money order _____ payable to:
Jackstuff.com, or
To pay by PayPal, your email address:
_________________________________
Mail orders - send form to: Jackstuff.com, 811 Shoemaker
Rd., Webster, NY 14580
Phone orders - (585) 787-1750 |