ORDER FORM
FANTASTIC COLLECTIBLES
Box 167
Carmel, Indiana 46082 USA 

Name ___________________________________________________________

Address ___________________________________ Date _______________

City _____________________  State  _________  Zip  _____________

ITEM DESCRIPTION
Item
number
QUANTITY
DESIRED
PRICE
PER
ITEM
TOTAL
Damsels in Distress #1
fcm01

$9.95

Good Girl Art #1
fcm03
$9.95

Detective Pulp Covers #1
fcm05
$9.95

Science Fiction Pulp Covers #1
fcm07
$9.95

Science Fiction Pulp Covers #2
fcm08
$9.95

Science Fiction Pulp Covers #3
fcm09
$9.95

Complete Collection
fcm10
$29.95
Planet Poster
ps1
$14.00
.



TOTAL
6% Sales Tax (only for residents of INDIANA)
add postage for CDROMs $3.00 US, $4.00 foreign
add postage for posters $3.85 US, $8.00 foreign
GRAND TOTAL - please remit via check or money order
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