Don't Eat Any Bugs Productions Store Order Form

Print, fill out and mail this order form to:

Ray Friesen
Don't Eat Any Bugs Productions
Po Box 291,
Tehachapi, CA 93581
, U.S.A.


Your Name________________________________________________

Address____________________________________________________________________ City__________________________

State__________________ ZIP______________ Country_______________________ E-Mail______________________________

please enter qty desired in blank space beside item

BOOKS

______ Cupcakes of Doom! $12.95

______ Another Dirt sandwich $12.95

______Lookit! vol.1 A Cheese Related Mishap! $8.95

______Lookit! vol. 2 YARG! $11.95

RQW Comics $2.95 (each) Issue #1________ Issue #2________ Issue #3________ Issue #4_________

RQW 48 page viking special $4.95 ________________

TSHIRTS

______________Liberty & Mustard For All Tshirt $15 (please indicate qty and size) small (S) thru double extra large (XXL)

______________Fear Me and My Ninja Powers Tshirt $15 (please indicate qty and size) small (S) thru double extra large (XXL)

______________YARG! Tshirt $15 (please indicate qty and size )small (S) thru double extra large (XXL)

______________Ride the Cheese Tshirt $15 (please indicate qty and size) small (S) thru double extra large (XXL)

______________Tbyrd "I Don't Know What I'm Doing" Tshirt $10 (please indicate qty and size) small (S) thru double extra large (XXL)

______________ "Do I Have to Pay You To Shutup?" Tshirt $10 (please indicate qty and size) small (S) thru double extra large (XXL)

HATS

________Mellville Embroidered beany $8


11" x 17" POSTERS $3.95

_____Got Fish?

_____Nephews "Can We Hold Your Wallet?"

_____MellChomp

_____Did You Bring Me Any Presents?

_____Jungle Cake

_____Award Winning Documentary

OTHER STUFF

__________ Mellville Mousepad $4.95

__________ Mellville Mug $4.95

Multiply quantities of items times price of items, and add all numbers together

PRETOTAL_______________

add $2 shipping for each item______________

add 7% sales tax (CA residents only)____________

TOTAL_________________

Billing Information: Payment: (US funds only) Check_______ Cash_________

Credit Card___Visa ___MasterCard ___Discover ___

Name on Card________________________ Card Number___________________________Exp Date_______

Cardholder Information (if different from Sold to): Name___________________________________________Organization____________________________ Address________________________________________________________________________________ City__________________________________ State________________ E-Mail address________________ Phone (______)_______-_________________ Fax (______)_______-________________ Signature______________________________ Date__________