(Print this and fill it out) I would like to purchase Prepaid Phone Card(s) How Many Minutes ( ) @ $100 each 1350 Minutes (1000 min. card + 350 min. card combo) 7.5 cents/min ( ) @ $77 each 1000 Minutes 7.7 cents/min. ( ) @ $28 each 350 Minutes 8 cents/min. Please include $3 for shipping and handling. Your info; Name___________________________________________ Address_________________________________________ City_____________________ State______ Zipcode_______ Make checks, and money orders to payable to; Duane A. De Boer (Checks will delay shipment 7 days for check to clear) Mail to; Duane A. De Boer 114 W. Broadway Ave. Scottville, MI 49454-1017 Thank You!