Order Form for Yoshitaka Amano's "Maten" artbook
Please print this order form out and send it to the address below.

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QUANTITY     :________   

PRICE EACH   :__$69___ (includes shipping to continental US)

TOTAL        :________

			       
YOUR NAME       :_________________________

SHIPPING ADDRESS:_________________________

CITY & STATE    :_________________________

ZIP CODE        :_________________________


EMAIL ADDRESS   :_________________________


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Please send your check or money-order to:

Hoai Nguyen
256 Hickory Cr. Rd.
Hightstown, NJ 08520
USA

After sending payment, please send me an email telling me about it so that I know when to expect it (and who to expect it from!). Please allow 4-6 weeks for delivery. Must be over 18 to order. Thanks!

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