PRINTABLE ORDER FORM

NAME:___________________________________________


ADDRESS:________________________________________


CITY:________________  STATE:_____  ZIP:________ 


			Merchandise Order

___ THE WIFE	(video)			@ $15.95 each =	$______

___ THE WIFE 	(script)		@ $12.95 each =	$______

___ THE WIFE	(poster)		@ $14.95 each =	$______

___ WHAT HAPPENED WAS...(video) 	@ $15.95 each =	$______

___ WHAT HAPPENED WAS...(script)	@ $12.95 each =	$______

___ Complete soundtracks (tape)		@  $8.95 each =	$______

___ MUST HAVE (novel manuscript)	@  $9.95 each =	$______

___ AGOG (short story manuscript)	@  $9.95 each =	$______

	Shipping and Handling				$  3.95

	Connecticut Residents Add 6% Sales Tax		$_______

		                            TOTAL	$_______


Credit Card # (if applicable):__________________________________


	      Expiration Date:__________________________________


		     Signature__________________________________