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SILENT G PRODUCTIONS
"QUEST FOR THE NOBLE DESERT POODLE"
ORDER FORM

VIDEO FORMAT QUANTITY PRICE PER ITEM TOTAL

NTSC __________ $18.00 ______

PAL __________ $24.00 ______

SHORT SLEEVE T-SHIRT SIZE (CIRCLE) QUANTITY PRICE PER ITEM TOTAL

L / XL __________ $20.00 ______

LONG SLEEVE T-SHIRT SIZE (CIRCLE) QUANTITY PRICE PER ITEM TOTAL

L / XL __________ $23.00 ______

Shipping & Handling:
U.S.: $5 per item, $15 max - International: $10 per item, $20 max SHIPPING ___________

GRAND TOTAL ___________

Your Name:________________________________
Address:__________________________________
City:_______________________ State:_______
Country:____________________ Postal Code:________
Phone #:____________________
E-mail:______________________

Write check or money order to "Silent G Productions"
Send to:
Thank you for ordering!

BACK

SHORT SLEEVE T-SHIRT	SIZE (CIRCLE)	QUANTITY	PRICE PER ITEM	TOTAL
	L / XL	__________	$20.00	______
LONG SLEEVE T-SHIRT	SIZE (CIRCLE)	QUANTITY	PRICE PER ITEM	TOTAL
	L / XL	__________	$23.00	______