ORDER FORM .......Just Print and Mail!


TO: Lonnie Burr Orders
PO BOX 2064
Beaverton, OR 97075

CONFESSIONS OF AN ACCIDENTAL MOUSEKETEER, a Memoir by Lonnie Burr
Please send one copy of Lonnie's autobiography at $30.00 including delivery within the US. 
Please autograph/personalize my copy to: (PRINT name as you want it to appear): _____________________________

THE NEW DOUBLE DVD with 1.5 hours added totalling 4.5+ hours:
Please send ____ (how many) copies of the Double DVD @ $22.00 per copy including US shipping and handling.

Composite Photo: Please send ____ (how many) composite signed photos @ $14.00. Please sign photo(s)
to: (PRINT name/names as you want it/them to appear): __________________________________________ ______________________________________________________________________________________

NEW!!  FULL COLOR PHOTO -  THEN AND NOW WITH ORIGINAL 1955 EARS! 
Please send ____ (how many) signed photos @ $14.00. Please sign photo(s)
to: (PRINT name/names as you want it/them to appear): __________________________________________ ______________________________________________________________________________________

SPECIAL PHOTO DEAL: Please send ____ photo sets (one Full Color Then and Now & one Composite)
@ $24.00 per set.  Please sign each photo to: (PRINT name/names as you want it/them to appear):_________
_____________________________________________________________________________________

BOOK:  Please send _____copies of "Two For The Show: Great 20th Century Comedy Teams" @ $19.00 each.
Please autograph the book(s) to: (PRINT name/s_________________________________________________

POETRY:  Please send ____copies of your limited edition poetry collection, "The Gravity of Finity" @ $15.00 each
Please autograph the collection to: (PRINT name/s) ______________________________________________

All prices include US shipping and handling. We accept checks or money orders.
Please ask about international costs before ordering.

Total Enclosed $_____________  

Send To: (this is your mailing label, so please print legibly):

NAME: ______________________________________

ADDRESS: ___________________________________     

City/State/ZIP: ________________________________                     

Thanks for your order. Please allow 14 days for arrival (most will get there much faster!)

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