To order your goat plates, print and fill in the form below and mail to 4-M Farms, PO Box 335, Yale, OK. 74085 or
fax to 918-387-2587.

Name ____________________________________________________

Address __________________________________________________

City___________________________ State _________ Zip ________

Telephone ________________________________

1-5 Plates @ $12.00 Each 6-15 Plates @ $10.00 Each

Check ___ M.O. ___ Cr. Card ___

Card # _______________________________________ Exp. Date _____

SIGNATURE _______________________________________________