Order Form

Return to How to Order page

STEP 1:  PRINT THIS PAGE

STEP 2:  Fill out the information below.

STEP 3:  Apply NY State & Local Sales Tax for all orders shipped to NY State.

STEP 4:  When you are all done, send the completed form and your 
         check or money order to:

            Joe Pasternack
            50 W. 72nd St.
            New York, NY 10023

Please SHIP my order to:

Name     _______________________________________
Address  _______________________________________
         _______________________________________
City     ____________________   State    ______ Zip Code ________

Additional Instructions:




This is my ORDER (attach additional sheets, if necessary):

              Item                                   Price        Total
Item#  Qty    Name                                   Per Item     Cost

  1

  2

  3

  4 

  5

                              ADD UP Total Cost for each Item  _________ 

                             Apply NY State & Local Sales Tax  _________

                                                  GRAND TOTAL  _________