Merchandise Order Form
| Item No. | Product Name | Price | Quantity | Total |
| DMGM-0001 | Garden of Eden 8x10 Color Glossy | $10.00 | ||
| DMSCR-001 | Dawn Marie in the Garden of Eden ScreenSaver | $10.00 | ||
| DMSCR-002 | Dawn Marie - 1 Million Years B.C ScreenSaver | $10.00 | ||
| DMSCR-003 | Costumes of Dawn Marie ScreenSaver | $10.00 | ||
| DMHN-001 | HELL NIGHT script (unsigned) | $10.00 | ||
| DMFCHN-002 | HELL NIGHT limited edition script (signed by cast and crew) | $50.00 | ||
| DMFCMS-1 | Membership to Dawn Marie Fan Club (in USA only) (no shipping required) | $15.00 | ||
| DMFCMS-2 | Membership to Dawn Marie Fan Club (outside USA) (no shipping required) | $20.00 | ||
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Sub-Total:
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+ $3.00 | |||
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Total:
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I certify that I am 18 years of age or older ___________________________________________
(signature)
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Dawn Marie International Fan Club P.O. Box 4516 Huntsville, Alabama 35815-4516 |
| Name:__________________________________
Address:________________________________ ICQ#__________________________________ City, State, Zip: __________________________ |
E-Mail:_____________________________
Region:_____________________________ Country:____________________________ Birthdate:____________________________ |