American Trader, LLC

Print and send this form to:
Fax/Phone:  (808) 826-1694
Mail:  P.O. Box 223540, Princeville, HI  96722
EMAIL: pomar@flex.com 

Order Form

All Purchases credited against your land Purchases

Name: _____________________________

Address: ____________________________________________________

Phone number: (____)_____-_________

Optional Information:

Age: _____                    Marital Status: _____________

Occupation: ___________________                       Own real estate:  Y  /  N

Sunsites Arizona:

     ___ Video, Brochure     $19.95

     ___ Map, Video, Brochure, Inventory List and Public Report     $29.95

San Luis Valley Colorado:

     ___ Video, Brochure     $19.95

     ___ Map, Video, Brochure, Inventory List and Public Report     $29.95

Shipping & Handling $5.50, Payment by Visa/MC or Money Order
Visa/MC Number (if applicable): ___________________________ Exp.: ____________

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