Sioux Specialties www.SiouxSpecialties.com J. Andrew Forsythe, owner/craftsman 203 School House Rd Montgomery, PA 17752 Phone 570-547-2693    andrew@siouxspecialties.com

ORDER FORM

SIOUX SPECIALTIES IS PROUD TO SERVE AS YOUR SOURCE OF FINE QUALITY NATIVE AMERICAN ARTIFACT REPRODUCTIONS AND CRAFTING SUPPLIES. THANK YOU FOR CHOOSING US & GOD BLESS.

TO: [Name] [Company Name] [Street Address] [City, ST  ZIP Code] [Phone] SHIP TO: [Name] [Company Name] [Street Address] [City, ST  ZIP Code] [Phone]

QTY UNIT DESCRIPTION UNIT PRICE TOTA L

SUBTOTAL   PA RESIDENT6% SALES TAX   SHIPPING   OTHER   TOTAL

* You can send this order form directly to us at; Sioux Specialties Sales Department 203 School House Rd Montgomery PA 17752