KEN RITCHIE COLLECTIBLES ORDER FORM

ITEM DESCRIPTION # . PRICE TOTAL
> ___ X $ $
> ___ X $ $
> ___ X $ $
> ___ X $ $
> ___ X $ $
> ___ X $ $
> ___ X $ $
> ___ X $ $
> ___ X $ $
MERCHANDISE TOTAL $
SHIPPING - Up to $250.00 merchandise; Over $250.00 - FREE IN THE U.S.A.!! - (+) $
OUTSIDE U.S.A. - (+) $

GRAND TOTAL

$

REMEMBER - The minimum acceptable order (exclusive of shipping cost) is $25.00.

All non-magazine or mixed-merchandise orders, email for shipping quote.

SHIP-TO NAME: ADDRESS:
CITY: STATE:
COUNTRY: ZIP CODE/POST CODE:
BILL-TO NAME: ADDRESS:
CITY: STATE:
COUNTRY: ZIP CODE/POST CODE:
EMAIL ADDRESS:
CHECK # ______________ MONEY ORDER
AMEX DISCOVER
MASTERCARD VISA
Expiration Date: __ / __ / __ Security Code __ __ __ __


SIGNATURE: _________________________

KEN RITCHIE COLLECTIBLES, P.O. Box 22604, Memphis, TN 38122-0604, U.S.A.