Abuelita's Chango
 Please print, fill out  all fields then mail with check or money order to:
 
Tera Avila   PO Box 7075   Austin,TX 78713

Name:_____________________________________________________________________
Address:___________________________________________________________________
City:__________________________ State:___________________ Zip:________________
Phone:_____________________________________________________________________
E-Mail:_____________________________________________________________________
 

Item/Size/Color:
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Price:_______ Quantity:______
 
Item/Size/Color:
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________________________________________/________________________/___________________________
Price:_______ Quantity:______
 
 Item/Size/Color:
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 Price:_______Quantity:______
 
  Subtotal:______
Texas residents add 8.25% tax:______
 Shipping:______
  Total:______
 
 
Special Instructions:___________________________________________________________________
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___ Gift: Please wrap and send package to this address:_______________________________________
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___ Yes! Send invoice to me.