Myra Michaels Order Form for photos, t-shirts, key chains, and more

Myra Michaels Merchandise
T-shirts, trading cards, and key chains.

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Thanks for shopping at MyraMichaels.com Over 25% of our profits go towards support of charitable causes, including cancer research and youth education programs. We accept Visa, Master Card, money order, cashier's check, or payment through Pay Pal.

8x10 autographed photos are available exclusively at autographedtoyou.com

Please enter your shipping information...

First Name

Last Name

Shipping Address

Address (cont.)

City

State/Province

Zip/Postal Code

E-mail

T- Shirt  (white on black)
high quality 100% cotton
Enter quantity desired
Qty. Size XL $15.95

Qty. Key chains $4.95
**features two photos**

Request any of these photos on your key chain by entering the photo name below.
(Click on name to view photo)
purple bikini snakes dragster animal print close up

I would like my key chain to include...

Trading Card $2.50

Choose from any of these trading card photos.
purple bikini snakes dragster animal print black bikini

I want this photo on my trading card

8x10 autographed are available exclusively at autographedtoyou.com
Want anything else? Just send me a request.

SPECIALS!
with any order over $10

Check here to receive a trading card for only $1.00 with any $10.00 order. Use the drop box above if you'd like to select a specific photo.

If you are ordering a special order item, please enter your item number or special order code below. Please place any specific instructions regarding your order in the comments section.

Special order item code:

Comments or additional items

Within the US, add $2.00 shipping and handling on all orders.
Outside the US, add $4.00 shipping and handling.

If you'd rather order by cashier's check or money order, click here!

If you prefer to pay through pay pal, skip to the pay pal section below.

*** Please note - your credit card will be charged to Quest International ***

BILLING

Credit Card

Cardholder Name

Card Number

Expiration Date mm/yy

Check here if you are using pay pal for this order

Please confirm that all information is complete and correct before hitting the submit button.
All orders receive email confirmation, generally within 24 hours.

If you prefer to use a third party system for credit card orders, click on the pay pal logo below. You will still need to enter your order information above, and click submit. Check the pay pal box instead of entering credit card information. We can bill you through your email address if you register at pay pal... or you can pay directly using your bank account. We are pay pal verified!

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8x10 autographed photos are available exclusively at autographedtoyou.com

Click here to download your FREE wallpaper!

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First Name
Last Name
Shipping Address
Address (cont.)
City
State/Province
Zip/Postal Code

E-mail

	BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date	mm/yy

Copyright � 2000-2003 Myra Michaels. All rights reserved. Revised: February 18, 2004

Copyright � 2000-2003 Myra Michaels. All rights reserved.
Revised: February 18, 2004