Please print this page, fill it out and mail it in along with your payment.
Name: Address: City: State/Province: ZIP/Postal Code: Phone:
Name:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ _______________________ Country:________________________ _______________________ E-mail:_________________________
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_______________________ Country:________________________
_______________________ E-mail:_________________________
Make checks or money orders payable in $US to Leonard Ellis. Send your order along with payment to:
Please allow four to six weeks for delivery.