Print, Fill Out and Include this Form with Your Order
Name______________________________
Shipping Address:
Street______________________________Apt.__________
City or Town________________________State__________
Zip Code_______________
Telephone or email address_________________________
(In the event we need to contact you. This information
will NOT be
sold or used for any other reason!)
Payment by:
_____Check_____Money Order
If payment is made by check please allow for a 2-3 week
delivery. Payment by
Money Order will receive priority 5 day shipping from
date of payment receipt.
Please list the item(s) you are ordering below-
Item Description___________________________________________Price $________
Item Description___________________________________________Price $________
Item Description___________________________________________Price $_______
Item Description___________________________________________Price $________
Item Description___________________________________________Price $________
Shipping $________
Total Amount Enclosed (U.S. Dollars Only Please) $________
Thank you for your order and for your interest. Please feel free to
phone or email should you have
any questions about any item or your order. Our answering machine is
on 24 hours per day. Please
phone (703) 319-1258. Our email address is: blakravn@ix.netcom.com
To avoid disappointment we would encourage you to contact us and have
your item held.
We will gladly hold an item for one week awaiting your order. Click
on the 'The Beatles Collectibles'
above to return to The Beatles Collectibles home page.
Again- Thank You,
Thomas Houck
P.O. Box 3
Oakton, VA
22124-0003