Stockade Miniatures
4 North 6th Street
Stroudsburg, PA 18360
Phone: (570) 424-8507
Fax: (570) 424-8503

Please print this order form and fax to Stockade Miniatures or call in your order
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Date:__________________ Phone:_____________________
Name:_____________________________________________
Address:___________________________________________
City, State, Zip:_____________________________________

ORDER FORM

Qty. Item #             Description             Price Subtotal
         
         
         
         
         
         
         
         
         
         
         
      Subtotal  
      Shipping $ 7.00 (US)
  Signature: ________________________________ PA Residents
Please add
6% Sales Tax		  
      TOTAL  

WE ACCEPT:
MASTERCARD, VISA, AND DISCOVER
CREDIT CARD #_______________________________/ exp. date_______
ID # ( last 3 numbers on signature line on back of card)__________________