ORDER FORM
(please print out and send with payment)
DESCRIPTION
 PRICE EACH
 QTY
 TOTAL
Pipe Dreams - A Gas Company Cartoon Book
 $12.50

Shipping and Handling
$2.50*
   



Total Enclosed
 $        .    
                           * No shipping and handling fee is required if you include your mail location (below)



THE FIRST 3 FIELDS MUST BE FILLED OUT TO COMPLETE YOUR ORDER .

 CUSTOMER INFORMATION:
Name:
                                                            
Address  (or mail location)
City, State, Zip Code
Email Address (Optional)
Phone Number (Optional)

Send this order form with your Check, Cashier's Check or Money Order (No Cash please) to:

Jack Russo
P.O. Box 280722
Northridge, CA 91328-0722

Please allow 7-10 days for delivery