Order Form

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*PAYMENT IN U.S. CURRENCY ON U.S. BANKS ONLY

Use this form to order products provided by the California Dairy Herd Improvement Association.

SHIP TO: Name
Company
Street or P.O. Box
City
State
Zip
Phone
FAX
BILL TO: Name
Company
Street or P.O. Box
City
State
Zip
Phone
FAX


	Quantity	Products	Price
		Gasket - 1 ¹/₂"	$10.95
		Gasket - 2 "	$10.95

NOTE: Postage and handling charges are prepaid in the U.S. only
when checks acompany order.

PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Send order form and check or P.O. to:

150 Clovis Avenue, Suite 102
Clovis, CA 93612

150 Clovis Avenue, Suite 102
Clovis, CA 93612
E-Mail: cadhia@aol.com

Phone: 559-323-2600
Fax: 559-323-2603

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