duck-orders

"this web page viewed and data entry best on "Internet Explorer" To adopt your winning RubberDucks, fill out below, submit, and we will contact you:
I WANT (how many?) DUCKS
NAME:
ADDRESS:
CITY/STATE:
EMAIL:
PHONE-- BEST TIME TO CALL:

we will contact you:

--OR by snail mail;

How many URCC RubberDucks are you adopting?

Please enclose $ 5.00 per Duck: Suggested donation = Total

Your First Name:
Last Name:
your E-mail address ? preferred, not required
Address:
City and State:
Zip/Postal:

To adopt your Special Duck or Ducks, mail check or money order to:

Fill in all information in the above fields, select and print "file" and

mail to the address above: Be sure to include check or money order

Send us the above information; E-mail us a note at urcc@ccountry.net or call us at 541-878-2702