"THE FRIENDLY VOICE"

Order Form:

For your convenience you may print this form.

Name ____________________________________
Street address __________________________Apt._____
City __________________________
State/Province ___________Zip/Postal code___________
Country _________________________
Telephone _________________________
E-mail _________________________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
ITEM#:________DESC.____________________ PRICE:$________
TOTAL MERCHANDISE: $______
NEW YORK RESIDENTS 8.375% TAX: $______
SHIPPING: $______
TOTAL AMOUNT OF ORDER: $______

Check Money Order Credit card

Mail your payment to:
THE FRIENDLY VOICE
P.O. Box 383 Cooper Station
New York, NY 10003

Charge to: VisaMasterCard

Account No.___________________________Exp. Date___/___/____

Last 3 numbers on back of credit card _____

Print Name on card__________________________

Signature___________________________________

(Credit Card orders may be faxed to 718-455-5354)