Red Letter Day Order Form

(Fields with an asterisk (*) must be filled in.)

First name:
Middle Initial:
*Last name:
*Street:
Suite/Apt #:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
Telephone:
Fax:
*E-Mail:
*Number of copies:
*Total at $10.00 each:
*Shipping and Handling:
See below
*Total:
*I wish to pay by: Check Credit Card
Card Number:
Expiration Date:
Name that appears on the card:

If you prefer you can print this form out. Fill in all the necessary fields and choose Print from the File menu on your browser and mail or FAX it to Grief Net at the following address:
             Mail to:

                GriefNet
                PO Box 3272
                Ann Arbor, MI, 48106-3272
                USA
                FAX:313-761-1960

When printing this form out, please make sure to sign it at the bottom if you plan to pay by Credit Card.
The CD is $10.00 with $3.00 Shipping and Handling in the US. Outside the US, the Shipping and Handling is $5.50.
All payments should be in US funds.
Thank you.

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