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Name: __________________________________________

Mailing Address:

Email Address: ________________________________
(in case we need to contact you about your order or payment)

Shipping/handling charges included in my payment for:
___ orders up to $16.00 = $5.00 s/h
___ orders from $16.01 - $35.00 and up = $6.25 s/h
___ orders from $35.01 and up = $7.50 s/h
___ other as discussed with Tina

Grand Total = ____________

Payment method   ___Money Order   ___MasterCard    ___Visa   ___Discover
If paying by credit card please provide the following information:
16 digit card number _________________________________
Expiration date ______________

Small Favor should be personalized to: __________________
Additional copies of Small Favor should be personalized to:
__________________    and    __________________

White Night should be personalized to: __________________
Additional copies of White Night should be personalized to:
__________________    and    __________________

Captain's Fury should be personalized to: __________________
Additional copies of Captain's Fury should be personalized to:
__________________    and    __________________

No Regrets should be personalized to: __________________
Additional copies of No Regrets should be personalized to:
__________________    and    __________________

No Control should be personalized to: __________________
Additional copies of No Control should be personalized to:
__________________    and    __________________