Please, print this form, fill it out and mail it with check or money order to:
LPC Order from Cyberspace
P.O. Box 598 Pismo Beach, CA 93448
fone: 805.481.3434 fax: 805.481.9083 gkltft@aol.com

Check or Money Order: payable to LPC Special Services

Lapel Pin: Lady Liberty ...................... $10.00 $________.00

Flags:     Lady Liberty Logo Flag
           3' x 5', made of durable nylon .... $65.00 $________.00
           LP Banner, 36" x 23.5", vinyl .....  50.00 $________.00
           desktop, 3" x 5", with stand ......  10.00 $________.00
           decal, weatherproof, 4" x 5.5" ....   2.50 $________.__

Documents:
           Insight reprints (ask about bulk) .   5.00 $________.00
           Rand46, 8.5" x 11" rand quote .....   1.00 $________.00
           Rand57, 8.5" x 11" rand quote .....   1.00 $________.00
           Poem, 8.5" x 11" prison poem ......   1.00 $________.00


                                         Total order: $________.__
                               Shipping and Handling: $       5.00
                                      Total Enclosed: $ ________.__
Check or Money Order: payable to LPC Special Services

Name:   __________________________________________________________
Street: _________________________________________ APT: __________
City: _________________________State: ___ ZIP: ________________
Phone: (___)____________
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Lapel Pin Flags Posters Order Info