ORDER FORM

PEN IS CENTRAL PENS AND PENCILS

The Nudist Pen                             How many? ___    Total: $ ________
  1 Nudist Pen for   $7.95    5 Nudist Pens for $30.00
  2 Nudist Pens for $15.00   10 Nudist Pens for $50.00
  3 Nudist Pens for $21.00     More than 10 for  $5.00 each
        
Pen is Central Pencil                      How many? ___    Total: $ ________
  1 pencil for  $1.00    4 pencils for $3.75
  2 pencils for $1.90   10 pencils for $8.00
                      More than 10 for $ .80 each
         
Pen is Central Pen    [stick pen]          How many? ___    Total: $ ________
     1 pen for  $2.00       5 pens for  $8.00
     3 pens for $5.00      10 pens for $15.00
                      More than 10 for  $1.50 each
        
Postage and Handling (add up the totals in each 'How many?' space)
                     (then circle correct charge)
                                                            Total: $ ________
# of items           USA       Canada     Elsewhere
    1               1.00        2.00         3.00
    2               1.25        2.40         3.80
    3               1.50        2.80         4.60
    
    4               1.75        3.20         5.40
    5               2.00        3.60         6.20
    6               2.25        4.00         7.00
    
    7               2.50        4.40         7.80
    8               2.75        4.80         8.60
    9               3.00        5.20         9.40
    
   10               3.25        5.60        10.20
   11 or more       3.25        5.60        10.20
        
GRAND TOTAL:                                         GRAND TOTAL: $ ________
                   
         
YOUR NAME AND SHIPPING ADDRESS:      MAIL THIS FORM AND YOUR PAYMENT TO:

______________________________       Jim W. / PhD Home Pages
                                     PO Box 151365
______________________________       San Diego CA 92175-1365

______________________________

______________________________

Finally, send me an e-mail so I'll visit my PO box promptly:
      phdtop@phdtop.com
Be sure to use the phrase "Dear Jim" in your letter.
(This puts your e-mail into a non-spam, high-priority mailbox.)