Order Form
Name ___________________________________________________________________
Address _______________________________________________________________
City __________________________________ State _____________ Zip __________
COUNTRY (If other than USA) ______________________________________
Providence ______________________________________________
* Additional postage depending on location, e-mail for required amount: Info@GrandCanyonOrphan.com
Quantity ___________ $19.95 each _____________
S/H (USA)* _____________
Total ___________ ($26.90 total for 1, for 2 = $46.85)
$6.95 for 1 - 2 copies Flat Rate Priority
$13.95 for 3 - 10 copies via Flat Rate
Make check or money order payable to:
Dianne Castagne
PO Box 438
Mina, NV 89422
How/where did you hear about us?
_________________________________
Thank you for your order!
And your interest in the
Grand Canyon Orphan Mine!
