| "God, Sex & Apple Pie" Order Form | Return to the Store |
| To PRINT this form, click FILE, then PRINT. | Problems with this form? Please let us know. |
| Name: (PLEASE PRINT) |
| Organization: |
| Address: |
| City:________________________State:_______Zip:____________ Country:_________________ |
|
Phone: (_______)______________________ E-mail:_________________________________ (Please provide your phone number and e-mail address in case we have a question about your order) |
| Shipping Info (If Different) Name: |
| Organization: |
| Address: |
| City:________________________State:_______Zip:____________ Country:_________________ |
| DESCRIPTION |
UNIT PRICE |
QTY | AMOUNT |
| God, Sex & Apple Pie Soundtrack CD | Free | ||
| God, Sex & Apple Pie Embroidered Hat | $12.00 | ||
| Thank You! -- You Should Receive Your Order Within 7 - 10 Business Days. | |||
|
Shipping & Handling: $2.00 each item CANADIAN ORDERS: $3.00 each item INTERNATIONAL ORDERS: $6.00 each item |
Subtotal | $ |
| California Residents Only Add 8.25% Sales Tax |
$ | |
| Add Shipping & Handling | $ | |
| Total Order (U.S. Dollars Only) | $ | |
|
Mail Check or Money-Order to:
Centaur Productions P.O. Box 251694 Glendale, California 91225 Web site: www.GodSexApplePie.com |
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