DENNY-MILLER.COM
PRINTABLE ORDER FORM
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PRINT THIS ORDER FORM |
MAIL TO: To Health
With You Publishers 9612 Gavin
Stone Avenue |
THIS FORM FOR PRINTING ONLY
PERSONAL INFO - SHIP TO:
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Name |
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Address |
___________________________________________________________________ |
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City |
___________________________________________________________________ |
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State |
___________________________________________________________________ |
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Zip |
___________________________________________________________________ |
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EMAIL |
___________________________________________________________________ |
I WANT TO BUY:
Black & White or Color Pictures are $20.00 each
Shipping is $3.95 US Priority Mail for unlimited number of pictures or for 1
video
If ordering both pictures and video, shipping is $6.00
Book $34.95 plus $6.00 Shipping - Overseas $10.00
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ITEM |
Cost per item |
Quantity |
COST |
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Photo #1 -
Diving Tarzan |
$20.00 |
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Photo #2 -
Tarzan and Chimp |
$20.00 |
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Photo #3 -
Tarzan Standing |
$20.00 |
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Photo #4 -
Tarzan & Chimp |
$20.00 |
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Photo #5 -
Wagon Train (Color) |
$20.00 |
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Photo #6 -
Wagon Train Group |
$20.00 |
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Photo #7 - Wagon Train Denny w/Horse |
$20.00 |
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Photo #8 - 3
Old Scouts |
$20.00 |
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Photo #9 -
Denny, |
$20.00 |
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Photo #10 -
Battlestar w/Richard Hatch |
$20.00 |
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Photo #11 - The
Party w/Peter Sellers |
$20.00 |
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Photo #12 - The Party |
$20.00 |
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Photo #13 - |
$20.00 |
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Photo #14 - Wonder Woman |
$20.00 |
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Photo #15 - The Hulk |
$20.00 |
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Photo #16 - The Hulk (Color) |
$20.00 |
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Photo #17 - Gilligan's |
$20.00 |
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Photo #18 - Gilligan's |
$20.00 |
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Photo #19 - Gilligan's |
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Book - "Didn't You Use To Be
What's His Name" |
$34.95 |
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KNOW SWEAT!" WRIST BANDS ARE $5.00 each
or $8.00 for a pair. (black french terry with white embroidery) |
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Book - "TOXIC WAIST? Get To KNOW
SWEAT!" |
$17.99 |
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Subtotal |
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Tax: (NV residents only) 7.75% |
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Shipping |
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Please Print clearly who you would like the Autograph made to.
If ordering more than one item and multiple autographs please make clear
which picture goes to who.
AUTOGRAPH INFO -
TO:_____________________________________________
AUTOGRAPH INFO -
TO:_____________________________________________
Thank your for ordering
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Denny Miller Website