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