Please enclose $5.00 per buckle or $15.00 for set of all 4

Quanity . . . . Year of Buckle . . .. . . . . . .. Amount $

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Name______________________________________

Address____________________________________

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City, State, Zip______________________________

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. Mail To;

TelecomPioneer Buckles
Qwest
200 S. 5th St., Room 260
Minneapolis, MN. 55402

Price includes taxes &
postage.