ORDER MOTOR SILK™ HERE
Evergreen America Corporation
69 North Turnpike Road
Wallingford, CT 06492

Page 23

FAX OR MAIL IN THIS ORDER FORM
FAX TO 203-284-5908

To ORDER ONLINE, go to www.evergreenamerica.com

Item #

Description

Qty.

Price

Subtotal

Order total:

Call for Shipping

Total

   FAX TO 203-284-5908

Name

Address

Phone

To ORDER ONLINE, go to www.evergreenamerica.com

Method of Payment                                 

Checks payable to Evergreen America Corporation

Check enclosed

Referred by 409936