Full Name
Shipping Address
City	State/Province
Zip/Postal Code	Country
E-mail (optional)

Write the quantity desired in the boxes provided.
T-Shirts  $15.95
Size XL    Size 2X 

Key Chains  $4.95  If you would like to request a photo on your key chain(s), check the appropriate box.  
                        purple bikini  snakes  dragster  animal print  close up  
Trading Cards  $2.50  (includes shipping) If you would like a specific photo, check the appropriate box.
                        purple bikini  snakes  dragster  animal print  black bikini
                          (Receive trading cards for only $1.00 each if your order totals $10.00 or more)

 
For special order items, enter your special order code here ____________________

In addition to your total, please add:  $2 shipping within the US or $4 outside the US
If ordering trading cards only, shipping is included in the $2.50 price.
Send a cashier's check or money order payable to Myra Michaels, OR  include your credit card information below.

Cardholder Name____________________ Card Number____________________ (MC or Visa only)
Expiration Date _______   (mm/yy)  Contact phone number ___________________

Send to:
Myra Michaels
PO Box 4000-143
Olathe, KS 66063