Printable Order Form

                      YOUR SHIPPING ADDRESS 

NAME      ____________________________________________________________ 

ADDRESS   ____________________________________________________________ 

CITY, STATE, ZIP _____________________________________________________ 

EMAIL     ____________________________________________________________ 

    OLD TIME RADIO SERIES TITLE                  PRICE

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

___________________________________________________  $ ______________

                                          SHIPPING   $ ______________
  
                                             TOTAL   $ ______________
   
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SEND CASH, CHECK, OR MONEY ORDER FOR 
US FUNDS PAYABLE TO 'OTRCAT' TO:

OTRCAT
PO BOX 19234
LENEXA KS 66285 USA

* IF YOU WOULD PREFER TO ORDER VIA CREDIT CARD THROUGH THE MAIL: *

CREDIT CARD # ____________________________________________________

EXPIRATION DATE (MONTH / YEAR)  _______________  / _______________

NAME ON CARD _____________________________________________________

CREDIT CARD BILLING ADDRESS (IF DIFFERENT THAN MAILING ADDRESS):

NAME      _______________________________________________________ 
ADDRESS   _______________________________________________________ 
CITY      _______________________________________________________ 
STATE     _______________________________________________________ 
ZIP CODE  _______________________________________________________ 

CHARGE MY CREDIT CARD $ ________________                          

SIGNATURE _______________________________________________________ 


THANK YOU FOR YOUR ORDER!