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THE MOTION DECOY BRAIN |
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Print out this page, fill out the form, and mail it to us with your check:
Name________________________________________________________________ Address
______________________________________________________________ City ________________________________ State/Region ______________________ Zip ____________________________ Phone _______________________________ Email Address ________________________________________________________
. . . Item . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . No.. . . . . . . . . Price. . . . . . _______________________________________________ . . . ______. . . . . __________ _______________________________________________ . . . ______. . . . . __________ _______________________________________________ . . . ______. . . . . __________ _______________________________________________ . . . ______. . . . . __________ _______________________________________________ . . . ______. . . . . __________ _______________________________________________ . . . ______. . . . . __________ . . . . . . . . . . . . . Subtotal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . __________ . . . . . . . . . . . . . + sales tax (Subtotal X 6.5%). . . . . . . . . . . . . . . . . . . . . . . . . . . __________ . . . . . . . . . . . . . Shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . _________ . . . . . . . . . . . . . Total Cost . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ____________ Mail form and payment to: DSR Productions |
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