Please fill out the form below. When complete print it out and mail it with a check to:

Banjoe Toys
P.O. Box 1002
Schererville, Indiana 46375

 
Name:
   
Street Address:
   
City, State, Zip:
   
Phone Number:
   
Number of Lee Roy Dolls
   
Price Per Doll $16.95 ($11.95 plus $5.00 s/h)
   
   
Total Enclosed:
   
Additional Instructions or Comments:
   


ONLY PRIORITY MAIL FROM THE U.S. POST OFFICE IS ALLOWED WITH MAIL IN PAYMENTS