Miss Laurie's Smart Guide ORDER FORM

To order by mail, select and describe the item & quantity of items you want. Then print and complete the form below and either:

1. MAIL it to: Miss Laurie Productions, 1315 S. Rimpau Blvd., L.A., CA 90019

2. CALL us toll free at 1 877 828 1038 (For orders shipping outside of the U.S., please call us.)

Please indicate if you have any specific deadline for your order - we will contact you to discuss alternate selections if we anticipate any problems in filling your order in time. Otherwise, expect delivery in 7-10 days upon receipt of your payment.

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Payment Information:

Name on Credit Card: ______________________

Charge to: Visa ___ Mastercard ___

Card #: ___________________ Exp. Date: (mm/yy) _____

Signature (for charge orders):______________________________

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Billing Information:

Name: ___________________________________________

Address: _________________________________________

City: ____________________________________________

State: _______ Zip: ___________ Country: ____________

Phone: (_____)_______________

Email Address: ________________________

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Shipping Information:

(If different than billing information)

Name: _____________________________

Address: _________________________________________

City: ____________________________________________

State: _______ Zip: ___________ Country: ____________

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Order Form:

Thanks for ordering

Miss Laurie's Smart Guide