Siouxlandopoly Order Form

Each Siouxlandopoly game is $25 each and shipping and handling is $5 per game, for a total of $30 per game.

Please send me Siouxlandopoly games at $30 each, I am enclosing $_ _

Please send these games to:

Name:

Address:

___________________

City: ______________________

State:

Zip: ______________________

If there is a problem with the order you can contact me at the following phone

number: - -

Send this completed form along with payment to:

Jane De Boer

3424 Fig Av

Rock Valley, IA 51247

Please make checks payable to Carmel New Horizon Fund.

If you have any questions, contact Jane De Boer janedb@mtcnet.net or 712-722-0301.

If you wish to include an additional amount in support of the building project, please feel free.

Thank you for your order and your support of the Carmel Reformed Church Building project.