M.A.P.S. P.O. Box 10616 Portland, OR 97296-0616 NAME (Please Print)________________________________ (CIRCLE ONE) VISA MASTERCARD AMERICAN EXPRESS CARD NUMBER________________________________________ EXPIRATION______________DAY PHONE ( )____________ SIGNATURE__________________________________________ MAILING ADDRESS ___________________________________________________ ___________________________________________________ ___________________________________________________ SHIPPING ADDRESS (if different from mailing) CHECK ONE Residence__ Commercial__ ___________________________________________________ ___________________________________________________ ___________________________________________________ QTY TITLE LBS COST TOTAL ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ ___ _________________________ ____ $____ $_____ SUBTOTAL $_____ SHIPPING FEES $_____ (see ordering info. for shipping fees) =================================================== TOTAL $ =================================================== Our catalog continues to exist almost entirely because our customers have wanted their friends and associates to know about our products. Is there anyone you know that we could send a free catalog to? Thank You! NAME_______________________________________________ STREET ADDRESS_____________________________________ ___________________________________________________ CITY______________________STATE____ZIP_____________