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SAVE THE MANATEE
EAT THE MANATEE!

Please complete the form below and mail with payment to:

Eat Manatee  PO Box 300  Marshalls Creek, PA 18335-0300

Please provide the following contact information:

Title
Name
Organization
Street Address
Address (cont.)
City
State/Province       Zip/Postal Code
Country
Home Phone   Work Phone
E-mail

Please provide the following ordering information:

QTY

DESCRIPTION
EAT MANATEE

     
     

 

SHIPPING INFORMATION

Shipping address same as above
Street Address
Address (cont.)
City
State/Province     Zip/Postal Code
Country
    PLEASE PRINT FORM AND MAIL WITH PAYMENT TO


Eat Manatee
PO Box 300

Marshalls Creek, PA 18335-0300


Revised: July 04, 2004