STEP'N OUT LINE DANCING

Will accept PayPal (payment to:  stepnout@intergate.com ), US postal money        orders, and personal checks (shipping delayed until check clears).

Please either copy, paste, and email a completed form to me or print and snail           mail the completed form, along with your payment to:

Janis Graves, P.O. Box 386 , Osteen , Florida 32764

Order will normally ship within a week of funds clearing. Thank you!

Name_________________________________________

Address_______________________________________

            _______________________________________

_______________________________________

Phone (optional) ________________________________

Email (optional) _________________________________

Comments:_____________________________________

_____________________________________________

Your personal information will not be used for any mailing or telemarketing lists nor shared with any third parties.

                    Quantity       

     Small _________

     Medium _______

     Large _________

     X-Large _______

     Total ________ x $15US each $_________

     Shipping & Handling x $3.50 each________

Grand Total $_____________