FIRST NAME: LAST NAME:
STREET ADDRESS:
CITY: PROV/STATE:
POSTAL/ZIP CODE: COUNTRY:
EMAIL ADDRESS:
TELEPHONE# (optional):
CHOICE OF PAYMENT: Money Order Cash
DESIRED ORDER [check the box(es)]:
"STRYCHNINE" ($12)
"IT CAME FROM THUNDER BAY" ($10)
"RILEY'S EVIL BRAIN" ($5)
"THUNDERGROUND" ($5)
TOTAL AMOUNT ENCLOSED:
*note: all prices include postage and, for Canadians, GST
Simply print out and send the completed form, above, along with your choice of money order (made out to Jesse Thom), or VERY WELL-CONCEALED cash, to the address below. (*note, we are NOT responsible for cash lost in the mail) Deliveries should take about 3 weeks, unless we are out of stock, in which case you will be notified, so please make sure your phone number is included.
SOMETHING EVIL 320 Routledge Road Edmonton, Alberta CANADA T6R 1E3 CANADIAN CUSTOMERS! ORDER BY MAIL: Fill out the order form and mail with payment (money order made out to Jesse Thom, or WELL- CONCEALED cash) to Something Evil, 320 Routledge Road, Edmonton Alberta, CANADA, T6R 1E3.
AMERICAN CUSTOMERS! ORDER BY MAIL: Fill out the order form and mail with payment (money order made out to Jesse Thom, or WELL- CONCEALED cash) to Something Evil, 320 Routledge Road, Edmonton Alberta, CANADA, T6R 1E3. Please make sure that payment is in US funds. All prices are in US funds for US orders.
OVERSEAS CUSTOMERS! ORDER BY MAIL: Fill out the order form and mail with payment (money order made out to Jesse Thom, or WELL-CONCEALED cash) to Something Evil, 320 Routledge Road, Edmonton Alberta, CANADA, T6R 1E3. Please make sure that payment is in US funds. Please add USD$1.00 per item ordered.
