Stephen Anderson
PO BOX 1011, SIMI VALLEY, CA 93062-1011, PHONE:  805-522-6056
Fax:  805-522-0041, E-mail:  tangosteve@earthlink.net
-
PRINTABLE ORDER FORM -
SOLD TO:__________________________________________                      SHIP TO:______________________________________________
ADDRESS:_________________________________________                      ADDRESS:_____________________________________________
CITY:_________________________STATE:______________                     CITY:_______________________________STATE:___________
ZIP:_____________COUNTRY________________________                      ZIP:_________________COUNTRY:______________________
Telephone #______________________________
(Please include your telephone # in case there's a problem with your order.)
-

ITEM #	BRIEF DESCRIPTION	QUANTITY	PRICE EACH	TOTAL
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.

-

ALTERNATE ITEMS

-

.	.	.	.	.
.	.	.	.	.

ORDERS OF $100 OR MORE WILL RECEIVE A FREE DVD OR NTSC VIDEO TAPE OR CD.	ORDERS OF $75 OR MORE WILL RECEIVE A FREE NTSC VIDEO TAPE, OR CD.	IF ORDERING POSTERS ADD $4 FOR POSTER TUBE	.
PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO:  STEPHEN ANDERSON	.	CALIFORNIA RESIDENTS MUST ADD 7.5% SALES TAX	.
.	.	ADD $8 POSTAGE AND HANDLING IF ITEM TOTAL IS LESS THAN $75	.
.	.	IF THIS IS A LAYAWAY, MINIMUM PAYMENT IS $10% GRAND TOTAL OR $10, WHICH EVER IS GREATER.	.
.	.	GRAND TOTAL	.
.	.	AMOUNT ENCLOSED	.