Duck Derby Order Form, Business
To order a duck, please enter the following information then click the SUBMIT button. Make check payble to: West Bend Kiwanis Early Risers P.O. Box 501 West Bend, WI 53095 All ducks are $35.00 each.
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indicates required fields
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Business Name:
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Address:
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Contact:
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Phone:
*
Duck Type:
Billboard Duck
Duck to Decorate
*
Number of Ducks:
*
Total Cost:
*
Payment:
I will send a check.
Please bill me.
Comment:
After filling the details click on the SUBMIT button.
Copyright 2007 West Bend Early Risers All Rights Reserved.
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