Name__________________________________________________________________________________
Company ______________________________________________________________________________
Address_______________________________________________________________________________
City_____________________________________State______________________Zip_______________
......................................................................................
Item______________________________________________________Quantity_______________Price
Manhattan 45 poster - $50.00
______________________________________________________________________________________
Aldus poster - $15.00
______________________________________________________________________________________
Type Directors Club poster - $40.00
______________________________________________________________________________________
OK poster - $15.00
______________________________________________________________________________________
New York is Book Country poster - $15.00
______________________________________________________________________________________
Taste of Tribeca poster - $15.00
______________________________________________________________________________________
Mumfest poster - $15.00
______________________________________________________________________________________
Stock Cups (set of 4) - $12.00
circle choice: Industrial Strength/Pink Elephants/Temple/Cup #6/Taxi
______________________________________________________________________________________
subtotal:
______________________________________________________________________________________
New York residents please add sales tax:
______________________________________________________________________________________
add 3.95 shipping for up to 3 posters and each set of tumblers:
______________________________________________________________________________________
total amount payable to "Daniel Pelavin"