Backroad Building Plans
Order Form

Print & Mail This Completed Form Along With Your Check Or Money Order To:

Country Designs
P.O. Box 774
Essex, CT 06426


Sorry, we do not accept credit cards at this time.

NAME:           
ADDRESS:        
CITY:            
STATE/PROV:      
COUNTRY:        
ZIP/POSTAL CODE:
TELEPHONE:      
SIGNATURE:      
PLAN NAME:      
PLAN NUMBER:    
NUMBER OF SETS:  TOTAL ENCLOSED:  DATE: 

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