The Matt Groening Archive Store Order Form
Instructions: Print out this order form, fill it out, put it in an envelope, seal the envelope, put a stamp on it, write your name and address at the top; left-hand corner, put the following address in the middle of the envelope:     The MGA Store
                                            c/o Dustin Phillips
                                              574 Acorn Ln.
                                          Brandon Ms. 39047
 Name:_____________________
                           Address:________________Apt:___
                            City:__________State:__Zip:_____
                               Area Code:___ Phone #:___-____
                             E-mail:_________@_______.___

Are you paying by... _Check or _Money Order or _Cash (risk!!!)
I'm sorry, we do not accept Credit Cards due to certain types of Fraud.

NOTE: If you are paying by Cash, I strongly suggest putting the $$$ and the order form in an
envelope that cannot be scanned through!!! We are not responsible for the US Mail, before you order, please read the  Agreement  on the very first page of the MGAS WebSITE (Let's not forget to
thank Allison Hanna for this.).

Quantity | Description                                                  | Product # | Price $$$$$$$ 














                                                                                                      Tax (C chart) | ________
                                                                                             TOTAL | ________
Tax Chart:
_________________
Mississippi Residents, pay 7%
sales tax. Other states must                          Now for the free stuff...
pay the following:                                      ------------------------
-------------------------                   If you order $100.00 or more
Amount                           Tax                     from MGAS, you'll get the
-------------------------                    Homer Simpson Intel Inside Gift Set
$1.00-20.00 $5.00                                 for free!!! All you pay is S & H.
$21-40.00    $10.00                              That's a $15.00 value to you for
$41-60.00    $15.00                          free!!! See below for more free stuff!!!
Anything over$61.00, pay
10% of Total.

 
_Check here if you want to recieve a Free Catalog of our store with your paid order.
 

         *After you have filled out this form, send it to the address listed above!!!*
 

  Any Problems??? Dial 1+ 601 + 992-1LAF or E-mail us at sphilli5@bellsouth.net