The P.B. Helms Co. - PO Box 508 -
Maiden, NC 28650
Before you place an order by check,
please read the information shown on this link.
Check Orders
NAME______________________________________________________________________
ADDRESS___________________________________________________________________
CITY_______________________________________________________________________
STATE_____________________ZIP________________________
TELEPHONE________________________EMAIL_________________________________________
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HANDLING CHARGE: $5.00 TOTAL:__________________________________
CARD #________________________________________________________________
EXP______________
PRINT NAME____________________________________________
