Order Form

The Mac Quarterback       $25.00      ______ 
Rush via Priority Mail*      $2.90      ______  
                                                       Total      ______ 
* U.S. Residents Only

Name:          ____________________________________
Address:      ____________________________________
City/State:____________________________________

(Optional) Please indicate where you can be 
reached via EMail
(Service and address)

____________________________________________

Comments ____________________________________
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Send Order Form and Remittance to:

R. Scott Smith
The Mac Quarterback
15928 Devonshire St.
Granada Hills, CA 91344