| Qty | Item | Price | Postage |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
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| _ | _ | _ | _ |
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| Total from other pages | _ | _ | |
| Subtotal | _ | _ | |
| Coupons and special discounts | _ | _ | |
| Subtract 10% for order over $100 | _ | _ | |
| Postage discount | _ | _ | |
| Total | _ | _ | |
| Grand total | _ | ||
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Name __________________________________ Order date _________________
Address ____________________________________________________________ City _______________________ State _______ Zip code ________________ Country if not US _________ Phone # (optional) _____________________ Age statement (for items listed as adults only or mature viewers) - I certify that I am at least 18 years old. ____________________________________ (sign) Send to: Brian Sutton, 229 Cloudmont, San Antonio, TX 78239 |