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,
                $3 min, $5 max, International Orders $2 / Item  __________

                                                    Grand Total __________

                         Mailing and Credit Card Info


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

                         Credit Card Payment:

    __ VISA         __ Discover      Card#:____________________
    
    __ MasterCard   __ Am Ex     Exp. Date:____________________
		
	Card Holder Name: _______________________________________

				 Comments or Special Instructions: