| PROPULSION MAIL ORDER FORM |
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Quant. |
Price |
| Subtotal |
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| Sales Tax (NYS Res. add 8.65%) |
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| *Postage |
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| TOTAL |
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it out, fill it out and send cash, check or money order payable to: |
| *POSTAGE: First Class: US/Mex/Can: $4 first item, $3 each add'l. |
| Other foreign terr: $6 first item, $4 each add'l. |
*Please write Jeff (at) testicle (dot) com, for exact postage rate, based on weight, delivery address
PURCHASER INFO:
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| Address |
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| Phone (....... ...) |
| Please list alternates: |
| TEST PRESS & Mike Diana comix are for adults only. Please sign age statement: |
| By
my signature, I certify I am of legal age __________________________________________________________________ |
| This space is for your comments ..Thanks for your support! Ya! |
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any questions: email jeff (at) testicle (dot) com