Date: __________________.
Send completed order form to: The Sedgehead Store / Philip E. Hyatt, P. O. Box 766, Mountain Home, Arkansas 72654. Note: all items subject to availability, especially hand made or unique items. WE WILL NOT SUBSTITUTE ITEMS without first contacting you and getting your approval. At this time, we do not anticipate accepting credit cards. Please pay with check or money order (or in person, you can use cash). T-shirt shipping is $4 for the first shirt, $1 for each additional. For other items shipped, please contact Sedgehead to get the exact costs.
Name: __________________.
Address: _________________________________________________________________________
_________________________________________________________________________________.
Billing address (if different): __________________________________________________
_________________________________________________________________________________.
Item name, (color, size, etc. if applicable): ______________________________ Price: __________
Item name, (color, size, etc. if applicable): ______________________________ Price: __________
Item name, (color, size, etc. if applicable): ______________________________ Price: __________
Item name, (color, size, etc. if applicable): ______________________________ Price: __________
Item name, (color, size, etc. if applicable): ______________________________ Price: __________
Tax, if ordering from Arkansas: _____________________________________ Tax: _____________
Shipping: ______________________________________________________ Shipping: __________
Total: _________________________________________________________ Total: ____________
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