Order Form

Mail to:
Lunatics On Parole
1335N. La Brea
PMB #2235
Hollywood, CA 90028-7565, USA

PAYMENT METHODS:
Send Money Orders, checks (Made payable to Ken Wilson) or Concealed U.S. Cash.

INTERNATIONAL:
Only International Money Orders

Please include applicable shipping charges.

SHIPPING & HANDLING
Free shipping inside the USA

SHIPPING & HANDLING
OUTSIDE THE USA
International shipping only $5.00

Name: ____________________________________________________________
Address: ___________________________________________________________
City: _________________________________State:__________Zip_________
Country: ____________________________Postal Code:_____________________
Phone #: _____________________________Fax #: ________________________
E-mail: ____________________________________________________________

Item #	Description	Size	Qty.	Price	Amount





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