UNIMA-USA (Merchandise Order Form)

Merchandise Order Form

TO ORDER BY CHECK OR MONEY ORDER:
1. Fill out the form below.
2. Print this page from your browser.
3. Mail to-
UNIMA-USA Ventures
Lia Powell
Center for Puppetry Arts
1404 Spring St. NW
Atlanta, GA 30309-2820 USA

Phone: (404) 873-9907
Fax: (404) 873-9907
Email: unima@mindspring.com

	QUANTITY	AMOUNT	SUBTOTAL
UNIMA-USA pin		@ $4.00	$
UNIMA-USA luggage tag		@ $3.00	$
UNIMA-USA tote bag 20" x 15" x 5"		@ $18.00	$
PUPPETRY INTERNATIONAL (21 copies)		@ $60.00	$
LANGUAGE OF THE PUPPET (book)		@ $14.95	$
TOTAL (pins, luggage tag, patches,book )			$

Please Make Check Payable to UNIMA-USA VENTURES and allow 4 weeks for delivery.

NAME
MAILING ADDRESS		APT.#
CITY		STATE
TELEPHONE		ZIP