Moogman Prints & T-Shirts Order Form
(Print this form, fill it out and send in with your total payment)

Last Name

First Name
Address
City ST Zip
Country Telephone

PRINTS:  Check or circle where appropriate and fill in the requested items.
Use multiple prints of this form to order prints of more than one drawing.  Use the first form as the original and total the other drawing orders on additional forms as described below.

______________________________Title of Drawing (See List in T-Shirt Table)

Color mattes: black, dark blue, dark green, dark burgundy, gray, violet and white.

(check one)
___Matte the Poem Card with the drawing in the same matte.
___Receive the Poem Card Separately (only with 5x7's and 8x10's)

Sizes (not including matte)

#

Unframed

Framed

Matte Color

Total

5 X 7

 

$20.00

$30.00

   

8 X 10

 

$35.00

$45.00

   

12 X 15

 

$55.00

$75.00

   

TOTAL

 

T-SHIRTS: Check or circle where appropriate and fill in the requested items.  Moogman mouse logo will appear opposite the side you choose for your customized T-shirt(s).

Name of Print

#

Print on
Front or Back

Price

Size
(L or XL)

Total

Away With The Angels   F B $22.50 L or XL  
Octonoia   F B $22.50 L or XL  
Playing The Dues   F B $22.50 L or XL  
Another One Bites The Dust   F B $22.50 L or XL  
Nothing Like a Late Night...   F B $22.50 L or XL  
Suckers Serenade   F B $22.50 L or XL  

Hey Diddle Diddle?

  F

B

$22.50

L or XL

 

Moo am I

  F

B

$22.50

L or XL

 

TOTAL

TOTAL PAYMENT
(Add the total of both tables above, using this form as master and any additional forms used to order more than one drawing, as addendum's to the master, and calculate the totals as listed below.)

Total for Orders of drawing specified on this form

_______

Total for Print Orders on additional forms

_______

Total for T-Shirt Orders

_______

Subtotal

_______

Add 8.5% sales tax for Texas Residents

_______

TOTAL PAYMENT INCLUDED

_______

Mail this, any addendum forms, and your Total Payment, by check or money order, to the address below. (Will accept Visa by telephone call - (512) 707-2554:
Moogman
1936 Miles Ave.
Austin, Texas  78745