TO ORDER, FILL OUT THIS FORM OR SIMPLY CALL 1 800 866 1616, 24 HOURS A DAY.

NAME
COLLEGE/UNIV.
CIRCLE ONE: FR SO JR SR
ADDRESS

CIRCLE ONE: MALE / FEMALE

CITY

ST ZIP

DAYTIME PHONE #: [ ]
HERE'S HOW I'LL PAY, [CHECK ONE]:
Q VISA Q MASTERCARD
CREDIT CARD#:

Q CHECK/MONEY ORDER ENCLOSED
AMERICAN EXPRESS I DISCOVER CARD
EXPIRES: /

SIGNATURE X

FIRST POSTER =
ITEM#y

$10, SECOND = $8.50, EACH
TITLE V

1ST
2ND
3RD
4TH
5TH
SUB TOTAL
SHIPPING
CT RESIDENTS ADD 6% TAX
TOTAL

ADDITIONAL = $7
PRICE
$ (10.00)
$ (8.50)
$ (7.00)
$ (7.00)
$ (7.00)
$
$ 2.90

$


THANK YOU FOR ORDERING, ENJOY YOUR POSTER

