Cinema Wasteland Order Form

Cinema Wasteland Order Form:

Please fill in all areas, then print form and mail.

*We believe very strongly in our customers' right to privacy. We will never trade, sell, rent, lease, barter or otherwise share any customer information with a third party.

Name: -
Address: -
City: -
State Zip Code: -

Email Address: -
Phone: -

Billing Address: (if different than above) or any special instuctions

- Check orders are held 14 days from deposit before shipping order.
- Money Orders & Credit Cards usually ship within 48 hours of receiving.
Type of Payment: -
PayPal address - zombies@cinemawasteland.com (Please email and let us know what your ordering to go with the PayPal payment.)

Cardholders Name: -
Credit Card # : -
Expiration Date: -
* Please remember to sign below, AFTER Printing, if paying by Credit Card.

Signature of Card Holder: X___________________________________

________________________________________________________________

Item Name: -
Size/Style: - Price: -

Item 2 Name: -
Size/Style: - Price: -

Item 3 Name: -
Size/Style: - Price: -

Item 4 Name: -
Size/Style: - Price: -

Item 5 Name: -
Size/Style: - Price: -

If additional space is needed just continue on the back.
________________________________________________________________

Merchandise Total: -
Shipping: - *For the cheapest and most accurate shipping:
Please email us the items you want and your zip code. We will email you back with your shipping total.
Sub Total: - (merchandise + shipping)
OH Sales Tax: - Multiply sub total x .0775 if you live in Ohio
Order Total: - (subtotal + OH sales tax)

Please sign the correct age statement that applies to you:

I am over 18 years old - X_____________________________________

I am over 21 years old - X_____________________________________

Please press "Print" in your web browser.
Mail this form along with payment to:
**Please note the change of address** They are closing our old post office so we are having to move, and yes it is just number 8 !

Cinema Wasteland
PO Box 8
Berea, OH 44017

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