FILL IN THE BLANKS OF THE ITEMS YOU WISH TO PURCHASE.
BE CERTAIN TO CAREFULLY TOTAL ITEMS AND ADD FEES WHERE APPLICABLE.
order form
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:
Place Order
Send Payment To:
The Lost World Convention, P.O. Box 491 Armada, MI 48005-0491
NOTE: If paying by Paypal please e-mail us the form and use
tlwcon2005@yahoo.com
when making the Paypal payment.