ORDER FORM -- DINOSAUR CIRCUS

Please PRINT OUT, FILL IN and MAIL with CASH, CHECK,
or MONEY ORDER (U.S. funds),
PAYABLE TO PETER VON SHOLLY to:

DINOSAUR CIRCUS
11317 RIVERWOOD TERRACE
SUNLAND, CA 91040

Please allow 3-4 weeks to receive your order.


 (CUT HERE AND MAIL)
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 1) NUMBER OF COPIES _________ X $9.95 EACH = $ _________ 

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 2A) ADD $3.00 SHIPPING/HANDLING FOR EACH COPY ORDERED = $ _________ 

 OR

 2B) ADD $4.00 FOR EACH COPY ORDERED SENT FIRST CLASS MAIL = $ _________ 

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 3) CALIFORNIA RESIDENTS ONLY ADD 8.00% SALES TAX:
    TOTAL LINE 1 = _________  X .08 = _________

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 4) ADD ALL OF THE ABOVE FOR TOTAL AMOUNT ENCLOSED: $ _________ 

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 NAME ___________________________________________________________________

 ADDRESS ________________________________________________________________

 ADDRESS ________________________________________________________________

 CITY, STATE, ZIP _______________________________________________________

 EMAIL __________________________________________________________________

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