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To order DVDs, simply print this page and fill it out completely.           

                  Name:_____________________________________________________

                  Street:_____________________________________________________

                  City:____________________________State:_______Zip :____________

                  E-mail:_____________________________________________________

                  Telephone #:________________________________________________

Qty. Item Size Price Subtotal
  Nemaha Farmall Promenade DVD (1 hr, 50 minutes)   N/A $25.00  
------- Subtotal ------ -------  
------- Iowa residents add 6% sales tax ------- -------  
  $4.00 Shipping & handling for each video DVD. -------   $4.00  
------- Total Enclosed ------- -------  
Please make checks payable to: Farmall Promenade

Mail to:       Farmall Promenade                
P.O. Box 85
Nemaha, Iowa 50567
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