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Please Print and Fill Out This Order Form
Or Make Out Your Own Order Form On a Normal 8X11 Piece Of Paper
Be sure to include Item Description and Item Qty along with your Payment
Mail The Completed Form To The Address Below
Ox Baker Productions
Green Hollow Road
Danielson, CT 06239
Phone: 1-860-779-7745
Email: oxbakerproductions@hotmail.com
www.oxbaker.com
  Customer Information:            
     
    Name:           Phone#        
     
       Address:              Email:        
     
        City:          
     
     State:                 Zip Code:      
                     
QTY Style Color Size         Item Description Unit Price Shipping Total
  B/W N/A 8X10      Signed 8X10 Photo $5.00 N/A  
  N/A N/A N/A   Bloody Ox Action Figure $10.00 $2.75  
  N/A N/A N/A   Normal Ox Action Figure $10.00 $2.75  
                Ox Baker T-Shirt $20.00 $4.50  
  N/A N/A N/A           Ox Baker Hat $5.00 $2.00  
  N/A N/A N/A    Ox Baker's Cook Book $15.00 $5.00  
  PC N/A N/A Cook Book on PC-CDROM $20.00 $2.50  
  Audio N/A N/A      Ox Baker Music CD $5.00 $2.50  
  VHS N/A N/A   Best of Ox Baker Video $10.00 $4.00  
  N/A N/A N/A Honorary Fan Club Membership $14.95 N/A  
  N/A N/A N/A Standard Fan Club Membership $19.95 N/A  
  N/A N/A N/A Champion Fan Club Membership $39.95 N/A  
Sub Total:  
 
Discount:  
          (The Shipping Charge Includes Both Shipping and Handling)  
Total Due:  
      At This Time We Can Only Accept Checks Or Money Orders - Prices Are In U.S. Dollars