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  1. ******************************************************************************
  2.     (This document is best viewed and printed in 9 point Monaco font)
  3.  
  4.    *****************   pacific media worX Order Form   *******************
  5.                          http://www.pacmedia.com/
  6.  
  7.                                HOW TO ORDER
  8.  
  9. * Fill out and fax this order form to 619-465-0323 (fastest)
  10. * Copy and paste this form into an e-mail message (orders@pacmedia.com)
  11. * Call use directly at 619-462-6042
  12. * Fill out and mail this order form to:
  13.  
  14.                               pacific media worX
  15.                             8870 Navajo Road #131
  16.                             San Diego, CA 92119
  17.                                    U.S.A.
  18.  
  19. Name______________________________ Organization_____________________________
  20.  
  21. Address_____________________________________________________________________
  22.  
  23. City__________________________ State______________________ ZIP______________
  24.  
  25. Country_______________________ Phone (______)_______-___________
  26.  
  27.  
  28.  
  29. ############################################################################
  30.  
  31.                                                Plat-       
  32. Product                                Price   form    Quantity   Amount
  33. ----------------------------------  -------- --------  -------- ------------
  34. Total Ruin                            $19.95  [M][D]
  35. Total Ruin II                         $19.95  [M][D]
  36. Vitamin                               $34.95  [M]
  37. How NOT to be Lonely                  $24.95  [All]
  38. New Fathers Baby Guide                $19.95  [All]
  39. Digital Vaccine                       $19.95  [All]
  40. Hawaiian Fantasy Bodies               $19.95  [M][W]
  41. Hightechtures                         $19.95  [M][W]
  42. Hightechtures II                      $19.95  [M][W]
  43. The Animation Class Library (ACL)    $250.00  [M]
  44. ----------------------------------  -------- --------  -------- ------------
  45.  
  46. Shipping & Handling                                     Subtotal ___________
  47. US & Canada: $7 for 1 product, $2 each add'l
  48.        (Vitamin & ACL shipping is free in US & Canada)       Tax ___________
  49. Int'l: $25 for 1 product, $2 each add'l                     (CA only: 8.25%)
  50.        
  51.                                                         Shipping ___________
  52.  
  53.                                                            TOTAL ___________
  54.  All prices U.S. Dollars and subject to change.
  55.  
  56.  
  57.  
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64. Payment: ___Cash ___Check/Money order (US funds only)
  65.          
  66.          ___Visa ___Mastercard         #____________________________________
  67.                    
  68.          Exp. Date_______ Signature__________________________ Date__________
  69.  
  70. ############################################################################
  71. Send Me More Information: __Total Ruin              __Total Ruin II  
  72.                           __Vitamin                 __How NOT to be Lonely 
  73.                           __New Fathers Baby Guide  __Digital Vaccine
  74.                           __Hawaiian Fantasy Bodies __Hightechtures   
  75.                           __Hightechtures II
  76.                           __The Animation Class Library
  77.                           __Site Licenses/Volume purchases  __Other_________
  78. ############################################################################
  79. Mail to:                          eMail mail to:
  80.  
  81.   pacific media worX             orders@pacmedia.com
  82.   8870 Navajo Road #131          sales@pacmedia.com
  83.   San Diego, CA 92119             
  84.   United States of America          
  85.  
  86. Web: http://www.pacmedia.com/
  87.  
  88. Phone: 619-462-6042                      
  89. Fax:   619-465-0323                
  90.                         Please allow 4-6 weeks for delivery.
  91.   
  92.                             
  93.                             
  94.