| Print Order Form, Fill Out and Mail To: |
| Jon Kanis |
| P. O. Box 84653 San Diego, CA 92138 |
Make Check or Money Order Payable to: Jon Kanis |
(U.S. Funds Only) |
| Item | Quantity | Price each | Total |
| _______________________ | ________ | ______________ | $______________ |
| _______________________ | ________ | ______________ | $______________ |
| _______________________ | ________ | ______________ | $______________ |
| _______________________ | ________ | ______________ | $______________ |
| _______________________ | ________ | ______________ | $______________ |
| _______________________ | ________ | ______________ | $______________ |
| _______________________ | ________ | ______________ | $______________ |
| Shipping & Handling | $ 2 .00 | ||
|
|
Total |
$______________ |
Customer Name:_____________________________________________________________________________________________________________ |
Address:___________________________________________________________________________________________________________________ |
State and Zip Code:___________________________________________________________________________________________________________ |
Email Address |
| I understand that products ordered are for personal use. No additional
usage, reproduction, duplication or commercial rights are assigned. All items are Copyright © Jon Kanis. |
Customer Signature and Date:___________________________________________________________________________________________________ |