order

Order Page

To order, print out this page, then fill it out and send it to:

Moon
4176 N. Thistle Dr.
Florence, AZ 85232

I would like to order: _____ Trip To The Moon Collector's masks(s) $350.00 ea

                                                           for a combined total of: $______.______

                                    Please add combined shipping cost here $______._____
                                    ($40.00 for each mask.)

                                  I will remit this amount, payable to Dante
                                  Renta in the form of a postal money order:$______._____
(Sorry, no partial payments will be accepted.)

Please send my mask to:

Name : _____________________________________
Address: ____________________________________
City, State: __________________________________
Zip Code : _____________________

I understand I may expect delivery in 4 to 6 weeks, via Priority mail.

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