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 Products Order Form     <div align="center">

Item Name

 

Price Each

 

 

Price  Each

Lassie Large Plush 14"

$21.00

       

Ace Collins- Lassie’s Guide to a Family’s Best Friend

$16.00

       

Collie candy mold $10.00

       

Cookie Cutter- 4.5" full body

$6.00

       

Lassie Fan Club Membership

$18.00

       
Insurance $1-100,  $1.50  
Insurance $101-200,  $3.00  
Insurance $200-300,  $4.50  
Insurance $300-400,  $6.00  

 

 

 

 

 

 

 

 

 

<small>Total</small>

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Credit card orders available only online at www.lassie.net</div>

Name:______________________________________________ Mail to:

Street/Mailing Address_______________________________Colliewoode Productions, LLC

City/State/Zip________________________________________ PO Box 1000

Email address:______________________ Age_____________ Abingdon, MD. 21009