ROGERS's Originals
c/o C. A. Rogers
PO Box 78544
Los Angeles, CA 90016  
                       

1. Print out order form
2. Fill in all information
3. Mail order form along with your payment to address below

OR

  1. Fill in all information
  2. Print out order form
  3. Mail order form along with your payment to address below

All prices include taxes, shipping and postage - Please allow 3 - 6 weeks for delivery
Name:
Address:
City:  ST: Zip
Phone #:  email:

  Order # Description

Quantity

Amount
1 $
2 $
3 $
4 $
5 $
6 $
7 $
8 $
1 $
10 $

Totals

$
 
Please make check or money order payable to Cheryl Rogers and mail to :

ROGERS's Originals
c/o C. A. Rogers
PO Box 78544
Los Angeles, CA 90016

Thank you for your order.
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