"OUT OF JACKIE'S SMOKE HOUSE"
                                  Smokery Cook Book
                                        Order Form
Print this form and mail to:
                                  The Out Back Ranch
                                      Jackie Reynolds
                                              Box  9
                                  Millville , CA  96062
                                   E-Mail smokery@shasta.com
                                           www.shasta.com/smokery
                                             Fax   (530) 547-4966
              ----------------------------------------------------------------------------------------------
                                                    "Prepayment Required"
 
        Name       _____________________________________________________

        Address  _____________________________________________________

        City        ___________________ State ____________ Zip ______________

        Phone    _____________________ E-Mail ___________________________

        Country _______________________ U.S.A. _________________________

                        -----------------------------------------------------------------------------------
                                                 Retail Price $19.95 per book Prepaid
 
                        Quanitiy ordered  ------------------------------ _____________________
                        Shipping  $3.50 per book ----------------------_____________________
                        Tax ------$1.45 per book ----------------------_____________________
                        Enclosed is my money order for $24.90 per book .Total ________________          

 
                            Please allow 3 to 4 weeks for delivery in the U.S.A.
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