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 ___ copies copy of Lonnie's memoir at $30.00.
Autograph my copy to: (PRINT name/s):______________________________________
THE DOUBLE DVD
with 1.5 hours added. Totals 4.5+ hours!!
Please send ___ (how many) copies of the Double
DVD @ $22.00 per copy. Autograph my
copy to: (PRINT
name/s):____________________________
COMPOSITE
PHOTO:
Please send ____ (how many) composite signed photos @ $14.00
each.
Please sign photo(s) to: (PRINT name/s:
): __________________________________________
__________________________________________________________________________
NEW!! FULL
COLOR PHOTO - THEN AND NOW WITH ORIGINAL 1955 EARS!
Please send ____ (how many) signed photos @
$14.00.
Sign photo(s) to: (PRINT name/s):
______________________________________________________
SPECIAL PHOTO
DEAL: Please send
____ photo sets (one Full
Color Then and Now & one Composite)
@ $24.00 per set. Please sign photo set/s to:
(PRINT
name/s):_____________________________________________________________________
Book. Two For the
Show: Great 20th Century Comedy Teams.
Please send _____copies @ $19.00
each. 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:
(please print legibly):
NAME:
__________________________________________________________________
ADDRESS:
_______________________________________________________________
City/State/ZIP:
___________________________________________________________
Thanks for your
order. Please allow 14 days for arrival (most will get there faster!)
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