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| Please print and fill out the following form. |
| CDs Suicide Club Vol. I $6 Kill Yourself (2 for $11) T-shirts Small $11 Large $11 X-Large $11 Stickers RobotGod 2 for $1 Kill Yourself TV 2 for $1 Lighters Kill Yourself $3 Total: |
| Order Form |
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| Customer Info. Name:______________________________ Address:____________________________ ____________________________ Phone:______________________________ E-mail:_____________________________ |
| Prices include shipping and handling. Please allow 4-6 weeks for delivery |
| Please print clearly. Check or money orders only. Do not send cash. All orders should be made payable to Anna Lieby. |
| Mail Completed form to: ROBOTGOD PO Box 7987 Santa Cruz, CA 95061 |