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BE CERTAIN TO CAREFULLY TOTAL ITEMS AND ADD FEES WHERE APPLICABLE.order form
FILL IN THE BLANKS OF THE ITEMS YOU WISH TO PURCHASE.
Gray T-shirt with Logo:
  QTY           Total
Small @ $20 each           
medium @ $20 each           
Large @ $20 each           
X-large @ $20 each           
2X large @ $23 each           
3X large @ $23 each           


Golf Shirt:
  QTY          Total
Small @ $22 each                
medium @ $22 each              
large @ $22 each              
X-large @ $22 each              
2X large @ $25 each              

Journal $11.50 ea.


          

Stuffed Caiman $10 ea.


          

Travel Mug $13 ea.


          

Travel Bag $19 ea.


          

M&R Poster $24 ea (16"x20").


          

N&V Mug $19 ea.


          

Cast Greeting Cards $16 ea set of 6.


          
Limited Promotion Offer: For merchandise orders of $50 or more that are placed on or before June 25, minus $5 from order: doesn't include raffle ticket purchases and/or S&H costs
Add $5.00 S&H for first item
Add $1 S&H for each additional item
Add $7 additional S&H for international orders
Add $2.00 fee if using Paypal
Merchandise total
Raffle Tickets: $1.00 ea. (5 free tickets
for every $25 of tickets purchased)
Grand Total

Name:
Address:
Apt. No.:
City: ST
Zip Code Country:
Email address:


Send Payment To:
The Lost World Convention, P.O. Box 491 Armada, MI 48005-0491
Acceptance Mark
NOTE: If paying by Paypal please e-mail us the form and use tlwcon2005@yahoo.com when making the Paypal payment.