O R D E R F O R M Name: _________________________________________________ Address: _________________________________________________ _________________________________________________ City, ST: __________________________ Zip: ______________-________ Country: _____________________ Phone #: (_____) _______-________ E-Mail Address _____________________________________________________ Stock #__Description_____________Qty____Unit Price_______Total___________ | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | | | | _______|________________________|______|________________|_______________| | | Sub-Total |_______________| | | Missouri Residents must add 7.516% Sales Tax |_______________| | | * Foreign Country Shipping Surcharge |_______________| | | Checks Accepted. Grand Total for this Order |_______________| Credit Card Number: ________________________________ Exp Date _________ Name As it Appears on Card: ____________________________________________ Signature: _____________________________________ Date: _______________ * Foreign Country orders must pay in U.S. Currency and add $1.00 for each item purchased (or $3 minimum). Packages will be sent by air mail only when charges can be billed to a valid credit card. Prices by Category Shown below are Postpaid: Male and Female Posters $ 7.00 Sports, Movie and TV, Door and Velvet Blacklight $15.00 Rock Group, Blacklight Prints $ 4.00 and Personality Posters $10.00 SEND ORDERS TO: POSTERS BY MAIL, PO BOX 6444, ST. LOUIS, MO 63107-0444 FAX CREDIT CARD ORDERS TO: (314)-IF-ORDER (314-436-7337) E-MAIL INQUIRIES TO: egis@posters.com