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Order Form
Name:  
Address: Town:
State: Zip:
Phone:  
Email address  
Stock No: Name: Count: Price: Sub Total:
1034 Asian Red Albino    $25.00  
1056 Red and Blue Fantail Out  $25.00  
1095 Deep Red and Black Out  $25.00  
1579 White Fantail Albino  $25.00  
2888 Black and White Out  $25.00  
3256 Peacock Green  $25.00  
3857 Blue and Black Fantail  $25.00  
3859 Pastel Blue Out  $25.00  
4569 Yellow and Black Lace    $25.00  
4829 Spotted Tail Out  $25.00  
5033 Orange Snake Skin Out  $25.00  
5041 White Angel Tail Out  $25.00  
5077 Purple Haze Out  $25.00  
5080 Deep Blue Fantail Out  $25.00  
5095 Golden Apricot Out  $25.00  
         
Packed by:  __________________ Count:____ Total $______