Mark E. Buckley

Simple Order Form


Print out this form. After filling it out mail it to PO BOX 1118, Billerica, MA 01821-1118 with your check.

Make check payable to Mark E. Buckley.


Item   Cost   Quantity   Total
My Biography   $9.99   ___   $_________
My Photograph   $19.99   ___   $_________
My Autograph   $5.99   ___   $_________
Box of Junk   $49.99   ___   $_________
       
SubTotal     $_________
Shipping $6.00 if Sub Total below $50.00   $_________
Sales Tax 5% if within Massachusetts.   $_________
Grand Total     $_________
       
  Your Name: _____________________________  
  Your Address: _____________________________  
  City, State, Zip: _____________________________  
  Your Email: _____________________________