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To order by check or money order simply fill out this form and send it to:

Ed "Big Daddy" Roth, Inc.
PO BOX 36
Manti, UT 84642

Mailing Address:	_______________________________________ _______________________________________ _______________________________________ _______________________________________
Phone Number:	_______________________________________
E-mail Address:	_______________________________________


Quantity:	Item Description:	Price:
_____	_________________________________________	_________
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	Total:	_________

Any ordering questions will also be responed to via e-mail to the address you left above.
Ed "Big Daddy" Roth, Inc. PO BOX 36, Manti, UT 84642
($20.00 return check charge)