YOUR IMAGINATION PRESENTS
ORDER FORM

    1. Print this order form
    2. Fill out all information
    3. Fax the order form to (818) 886-8820, or mail it to:

        Your Imagination Presents
        P. O. Box 4445
        Chatsworth, CA   91313        U. S. A.

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 “HOW TO ORDER” PAGE

Name: _________________________________________________________________

Address: _______________________________________________________________

City: __________________________________________________________________

State/Province: ______________________________ Zip/Postal Code: _______________

Country: ________________________________________________________________

E-mail address: __________________________________________________________

Phone: ________________________________ Fax: _____________________________

ITEM

PRICE

QUANTITY

TOTAL

SPACE FLIGHT TO THE UNKNOWN     (YIP-1957)

$10.00

 

 

MYSTERY ISLAND     (YIP-1958)

$10.00

 

 

Sub-total

Sales tax  (9.00% California residents only)

Shipping & Insurance  Media Mail:  $3.75 for 1 - 3 CDs.  $5.00 for 4 - 6 CDs.
                                   
Priority Mail:  $6.50 for 1 - 3 CDs.  $8.50 for 4 - 6 CDs.
YOU CAN CONFIRM THE TOTAL AMOUNT OF YOUR DOMESTIC ORDER
HERE
YOU CAN CONFIRM THE TOTAL AMOUNT OF YOUR FOREIGN ORDER
HERE

TOTAL

Payment method  (circle one):        check/money order               Visa                       MasterCard

Credit card number: _________-_________-________-________   Expiration date: ___________

Signature: _________________________________________________________________

“With a child’s imagination, anything is possible!”

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