Print Mail Order Form:

Send To: Line-a-worm
P.O. Box 18111
Kearns, Utah 84118

Ship Line-a-worm to:
Name _____________________________
Address____________________________
__________________________________
State or Province_____________________
Country_____________Zip____________
Phone Number you can be reached at
during the day.____________________
Quantity_______ Enlcosed $____________

Price includes shipping
by regular mail. Allow 3 to 4
weeks for delivery.
Larger Wholesale orders call
Phone 1-801- 966-2841
Fax 1-801- 966-2814
or
Email ggrantdean@yahoo.com


Make Check or Money Order
payable to: LINEAWORM
Do Not Send Cash
USA
1st Line-a-worm $7.00
or 2 for $12.00
Canada
1st Line-a-worm $10.00
or 2 for 15.00



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