orderform

YOUR IMAGINATION PRESENTS
ORDER FORM

1. Print this order form
2. Fill out all information
3. Mail the order form to:

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


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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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