1: Print this page
2: Fill in ALL information
3: Mail completed form with check or US money order


Full Name: _________________________________________

E-Mail Address: _____________________________________

Country: ___________________________________________

Street Address: _____________________________________

City: ______________________________________________

State/Provence: _____________________________________

Zip Code: __________________________________________

NYS Sales Tax Included

Items

Price (each)

     

Quanity

     

Totals

Getting Colder

4.99

 

X

 

_____

 

=

 

$________

Bad Break

4.99

 

X

 

_____

 

=

 

$________

Out Of Sight

4.99

 

X

 

_____

 

=

 

$________

Full Set of 12

5.99

 

X

 

_____

 

=

 

$________

3 Pack (Assorted)

1.50

 

X

 

_____

 

=

 

$________

                   

Sub Total

 

$________

Shipping & Handling

  $ 2.50
                   

TOTAL

  $________

 Make check or US money order out to
Rainbow Cross Publishing, addressed to:
PO Box 394, Bergen, NY 14416