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CHRISTY MARX ORDER FORM
PRINT THIS PAGE TO SEND YOUR ORDER. MAIL TO:
Christy Marx
POB 5273
San Mateo, CA
USA 94402

Your Email address (important)____________________________________________

Please print name and address very clearly. Thank you.
Ordered By:

Name________________________________________

Address______________________________________

City_________________________________________

State/Province_________________________________

Country__________________ Postcode____________
               Ship To: (if different from ordered by)

Name________________________________________

Address______________________________________

City_________________________________________

State/Province_________________________________

Country__________________ Postcode____________
Quantity Item Description Price/ea Line Total












































  • Check or Money Order must be in U.S. dollars. Checks will be held for 2 weeks to clear.
  • Make payable to CHRISTY MARX.
  • Prices include first class postage for the U.S. If you want priority mail, add $3.00 to order.
  • If you want insurance, add the applicable amount as follows (U.S. only):
    Value up to $50.00, add $2.30
    Value from $50.00 up to $100.00, add $3.20
    Value from $100.00 up to $200.00, add $4.20
  • If ordering from outside the U.S., please contact me first by email and indicate what items you want to purchase. I will figure out the correct postage for your country and advise you by email of the amount.
    My email address is: cm (at) christymarx.com
    URL for this order form is: http://www.christymarx.com/ledger/order.htm


    • Subtotal $________________

    Priority fee $_____________
    (optional)

    Insurance $_______________
    (optional)

    TOTAL: $_______________
    04/11/04