Please print out this page.  Fill in the required information, and mail this completed form,
Along with your Check, Money Order or Cashier's Check, payable to S.Kidwell:

S. Kidwell
c/o White Pony Productions
P.O.Box 661
Ocoee, FL  34761-0661


Your Full Name:



Street Address:


City:


State or Province:


Postal Code:


Country:


Quantity
Item
Description

Order
Number

Cost
Per Item

Total
Cost
















Subtotal:
+ Shipping & Handling:
(see table below)

GRAND TOTAL:
Shipping Choice Order Amount
$0.01-$09.99
$10.00-$49.99
$50.00-$99.99
$100.00-plus
USPS Priority, U.S.A.
add $4.00
add $8.00
add $12.00
add $20.00
Global Priority, International
add $12.00
add $12.00
-
-
Insurance*
add $1.00
add $1.00
add $2.00
add $3.00
* NOTE: Sorry about the additional Shipping & Handling Cost--USPS is now charging an extra Fuel Surcharge.
* NOTE: Insurance is available only for U.S. domestic mail.  Insurance for International buyers is very expensive and in some cases unavailable.  However, if an International buyer would like Insurance on thier shipment--please e-mail me at whitepony@lycos.com.
 Signature:


  If ordering the "Crusade," please sign on the above line to signify that you are an adult under the laws and bylaws of your home state/province/country.