The Russell Meerdink Company">
   The Russell Meerdink Company, Ltd.
   1555 South Park Avenue, Dept. IN
   Neenah, Wisconsin 54956 USA
   1-800-635-6499 In the USA & Canada  1-920-725-0955 Worldwide
   1-920-725-0709 FAX
 
Name:                       ________________________________________________
Address:                    ________________________________________________
City/State/Zip/Country:     ________________________________________________
Phone/Fax #/E-mail address: ________________________________________________

 Item No.       Qty             Title                   Total Price    
___________________________________________________________________________
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                             Merchandise Total               ______________
                             Tax *                           ______________
                             $14.95 Canadian Customs Charge*  _____________
                             Shipping: ($7.95 for 1st item,
                                       $2.50 each additional
				       Prints $10 for the 1st,
				       $2.50 each additional)______________
                             Overseas Airmail (40% of total) ______________
                             Total enclosed                  ______________
         
MC ____  VISA ____  AMEX ____  Discover ____  Check or Money Order** ____
Credit Card Number: ______________________________ Exp. Date: ___________  
Signature: ____________________________________
 
	 *Canadian residents, please consult Canadian Orders to calculate your
	  GST/HST and duty.
         *All Wisconsin residents add 5% sales tax.
	 ** If you are not paying in US dollars, please go to Conversions to find  
	   the current exchange rates.