Mazeppa.Com Online Check Order Form
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NAME

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ADDRESS

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CITY                                 STATE                     ZIP

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E-MAIL ADDRESS

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Title Quantity Price each Total Price
MAZEPPA GIZZER-BLINKY DVD
-Vol. 1 Product ID: MZDVD1		 ______   x   31.95 = __________

MAZEPPA GIZZER-BLINKY DVD
-Vol. 2 Product ID: MZDVD2		 ______   x   31.95 = __________

MAZEPPA GIZZER-BLINKY DVD
- Vol. 3 Product ID: MZDVD3		 ______   x   31.95 = __________

THE LOST TAPES OF MAZEPPA
- Vol. 3 (VHS) Product ID: MZ03		 ______ x 22.95 = __________

Shipping & handling: (first item)		 = + $4.85

Shipping & handling: (each extra item)
______
x
1.00
=
If shipping to Oklahoma, add 8.917% sales tax ___________

Total		 $__________


Make checks payable to Sartain, Inc.
U.S. orders are mailed via Priority Mail.
U.S. and Canadian orders only please.
Canadian checks should be in U.S. funds.
Credit card orders are only available online.		     Mail to:
Sartain, Inc.
P.O. Box 52512
Tulsa, OK 74152