Mags Inc. Order Form 

   By submitting this order, I am testifiying that I am over 18 years of age!!
		
       Item #1  ________________________________________ Price: __________
       
       Item #2  ________________________________________ Price: __________
       
       Item #3  ________________________________________ Price: __________
       
       Item #4  ________________________________________ Price: __________
       
       Item #5  ________________________________________ Price: __________
       
       Item #6  ________________________________________ Price: __________
       
       Item #7  ________________________________________ Price: __________
       
       Item #8  ________________________________________ Price: __________
       
       Item #9  ________________________________________ Price: __________
       
       Item #10 ________________________________________ Price: __________

                                                          Total __________
                   Shipping (within the US) $1/item,
   $4 min, $10 max International Orders $2 / Item Airmail        __________

                                                    Grand Total __________

                         Mailing and Credit Card Info

        Mailing Name:_________________________________________
        
             Address:_________________________________________
             
                City:________________________ State:__________
                
             Country:________________________ Zip:____________
             
      E-mail address:_________________________________________

                         Credit Card Payment:
    Credit Card Name: ________________________________________

     Billing Address: ________________________________________

    __ VISA         __ Discover      Card#:____________________
    
    __ MasterCard   __ Am Ex     Exp. Date:____________________
           
                         Comments or Special Instructions:
      		


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