Order Form

Print this Form, Fill it out then Mail your order to: 

Kampers' Kitchun      
1926 Mentor
Wichita, Kansas  67213

Ship to:

Name: _______________________________           Date: ________________

Street: _______________________________

City:   _______________________________

State: ______________ Zip: _____________

Phone: (____) ____________         Email:  _____________________________________

Item

Quantity

Cost

Total

Large Kampers' Kitchun  9 x 11

   

$49.95

  

Small Kampers' Kitchun   6 x 9

  

$42.95

  
                
Shipping And Handling   

$7.50

  
Total     

     

  

Money Order [__]       Check [__]

Make Check Payable to: Kampers' Kitchun   Allow 4-6 weeks for delivery