New Page 2

	BILLING INFORMATION		SHIPPING INFORMATION (if different than billng address)
Name		Name
Address		Address
City		City
State	Zip	State	Zip
Country		Country
CONTACT INFORMATION
	Phone Number with Area Code		Fax Number (If Applicable)

E-mail Address

Funtoon Prints 8x10 Matted $12 or 2 For $22 Framed Add $8 Per Print

QTY DESCRIPTION COLOR MATTES FRAMES FRAMES

NoYes
NoYes
NoYes
NoYes

Print #1
Name To Be Printed Caption

Print #2
Name To Be Printed Caption

Print #3
Name To Be Printed Caption

Print #4
Name To Be Printed Caption

QTY Keychains QTY Magnets

Keychain or Magnet #1
Name To Be Printed Caption

Keychain or Magnet #2
Name To Be Printed Caption

Keychain or Magnet #3
Name To Be Printed Caption

Keychain or Magnet #4
Name To Be Printed Caption

QTY DESCRIPTION PRICE
COST

1 Print $12.00
2 or More Prints $11.00 each
Frames $8.00 each
Keychains $5.00
Magnets $5.00
Subtotal

NYS Resident Sales Tax Rate
Sales Tax
Shipping Rate Shipping
Total

Select Payment Method
Cardholders Name
Credit Card Number
Expiration

For all international orders, contact us for a shipping quote.

Include any comments or other information here...

For check or money order purchases please make payable to:

144 Publishing, LTD
P.O. Box 3963
Albany, New York 12203

(518) 489-5776 or (888) FUNTOONS

QTY	DESCRIPTION	COLOR MATTES	FRAMES	FRAMES
			NoYes
			NoYes
			NoYes
			NoYes

QTY	DESCRIPTION	PRICE	COST
1	Print	$12.00
	2 or More Prints	$11.00 each
	Frames	$8.00 each
	Keychains	$5.00
	Magnets	$5.00
		Subtotal
NYS Resident Sales Tax Rate		Sales Tax
Shipping Rate		Shipping
		Total

Select Payment Method	Cardholders Name	Credit Card Number	Expiration