Make your own free website on Tripod.com

South Dakota Highway Patrol Association

hppatch.jpg (76119 bytes)

         redblue5.gif (1086 bytes)

           


 

 

Order Form

Name:    

Agency/Company

Shipping Address  

City:                   State/Prov:  

Country:    Zip/Postal Code:   

Phone:     E-Mail:   

Method of Payment (Credit Card information may be sent to an unsecured site and may be visible to others)

    Credit Card #      Expiration Date:

   Item                             Size                 Color                     Qty             Price              Total

                         

                         

                         

                         

 

                                                                      Order Total         

                           South Dakota Residence 6% Sales Tax          

                                                                          Shipping          

                                                                               Total          

                

Hit Counter

 

 

Send mail to willbjeff@hotmail.com with questions or comments about this web site.
Last modified: October 25, 2000