Gold Leopard Order Form

Name: ____________________________________________________ [Please Print]

Address: ________________________________________________________________

City: ____________________________ State: ________ Zip: _________________

Daytime Phone: (_____)______________ email: _____________________________

CatNum Description                            Qty      Unit      Total

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Payment method:                                      Subtotal: __________

(  ) Check   (  ) Money Order                   (TX Only) Tax: __________

                                                     Shipping: __________

How did you find our website? ______________________    Total: __________

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Shipping charges: $3.50 for one item.  Add $0.25 for each additional item.
Please include your email address, so that we may contact you when your
order ships.  We may also need to contact you if items are backordered.

Gold Leopard, Inc.
P.O. Box 450162
Garland, TX  75045-0162
972-644-8676

email: sales@goldleopard.com
web:   www.goldleopard.com