"Ask Me I Live Here" Button Order Form

Button Price:                  $4.00
Tax:                                  0.34
Postage and Handling:    0.66
Total for One Button:    $5.00
Quantity:                        
Total Enclosed:           		Send check or money order payable to MOR Media Int'l, Inc. and mail to:

"Ask Me" Button — MOR Media
P.O. Box 683
Times Square Station
New York, NY 10108                                  (Allow 5 to 7 days for delivery)

Fill out the information below and print:

Name: Last   First

Address     

City              State   Zip 

Telephone 

E-mail       

 For inquiries or quantity orders, e-mail: mormedia@nyc.rr.com or call:  718-729-1962