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: (___)____________