Crystal Skull Lamps by Creative Pal, Mail-in Order Form

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World of Good
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Dept Lamps
Attn: P.W. Shapiro
1906 E. Oakland Ave.
Bloomington, IL 61701-5755, USA

WORLD OF GOOD -- POSTAL ORDERS
( Please Make your Check or Money out to: PAUL W. SHAPIRO )

DATE
            ______________________________

NAME
________________________________________

ADDRESS

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CITY                                  STATE              ZIP

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COUNTRY

Your Shipping Address (if different then billing)
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NAME
____________________________________

ADDRESS

______________________________________________

_______________________________
CITY STATE ZIP

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COUNTRY

HOME PH# WORK PH#

World of Good Crystal Skull Lamp Products

CSSL01	Crystal Skull Shadow Lamp	$100.00
CSLS01	Crystal Skull Lamp and Shade	$124.00

SHIPPING & HANDLING

LOCATION
(for Shadow Lamps)

Shipping & Handling

Total Amount
(with s&h)

United States	$12.00	$112.00
Canada	$22.00	$122.00
Mexico	$30.00	$130.00
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LOCATION (for Lamp and Shade)	Shipping & Handling	Total Amount (with s&h)
United States	$15.00	$139.00
Canada	$24.00	$148.00
Mexico	$35.00	$159.00

TOTAL ________________________

(Look at the tables to your right and fill in the appropriate total for your order based upon the number of books you wish to receive and then enter this amount here; includes shipping and handling.)

PLEASE MAKE YOUR PAYMENT OUT TO:
PAUL W. SHAPIRO

Note: All amounts shown are listed in US dollars. If you have any questions about your order feel free to write to us or send an email to the address shown below. Please mail your payment to the address for V J Enterprises at the top.

EMAIL: CreatvPal@aol.com

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