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Lopez Mug Order Form

Fill out the information below to reserve/order your Lopez mug(s).

Name:
Address:
Address:
City, State, Zip:
Phone:
e-mail:

Current Year 2008 Mugs:	Qty. @ $20.00 each + S/H
Select other years you would be interested in purchasing and quantity you would purchase if they become available:	2001 Qty. 2002 Qty. 2003 Qty. 2004 Qty. 2005 Qty. 2006 Qty. 2007 Qty. 2008 Qty. 2009 Qty. 2010 Qty.

Once your order is received we will e-mail you a total with shipping charges included. You may then send a check, payable to Robert McGuire, for the total amount to:

Robert McGuire
Box 224
Lopez, PA 18628

You may also pick up your order and save the shipping charges and pay at the time of pickup.

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