---------------------------------- *SUPER FLY PRODUCTIONS ORDER FORM* ---------------------------------- FIRST NAME: ____________________ LAST NAME: _____________________ CITY: _______________ STATE/PROVINCE: _______________ ADDRESS: _______________________ ZIP CODE: ___________ MAILING ADDRESS (If different from above): _____________________ PHONE NUMBER: ( )-_____________ ---------------------------------- Check off the products you are ordering: ____ Video ($10.00) QTY.______ ____ T-Shirt ($10.00) QTY._____ (Size: S,M,L)_____ ____ StickerPack ($2.50)QTY.____ (includes 3 small, 2 med) *$6 shipping and handling fee for residents of Canada on the video and/or T-Shirt. *$3 shipping and handling fee for StickerPack. *Please make checks out to Mark Bennett. *****CASH AND CHEQUES ONLY******* Mailto: Super Fly Pro c/o Mark Bennett 26 Tamarack Avenue A0l 1k0 Pasadena, Nf, Canada Thanks for your order.