"THE FRIENDLY VOICE"

Order Form:

For your convenience you may print this form.

Name

____________________________________
Street address

__________________________Apt._____
City

__________________________
State/Province

___________Zip/Postal code___________
Country

___________
Telephone

________________
E-mail

________________

ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
TOTAL MERCHANDISE: $______
NEW YORK RESIDENTS 8.875% TAX: $______
SHIPPING: $______
TOTAL AMOUNT OF ORDER: $______

Check Money Order Credit card

Mail your payment to:
THE FRIENDLY VOICE
P.O. Box 383 Cooper Station
New York, NY 10003

Charge to: VisaMasterCard

Account No._______________________Exp. Date__/___/__  last 3 numbers on back ____

Print Name on card__________________________

Signature___________________________________

(Credit Card orders may be faxed to 718-455-5354)