Please Print
Name:___________________________________Date_______________
Mailing Address:______________________________________________
Organization Name____________________________________________
City:______________________________State:______Zip:____________
Ordered By:_____________________________Title_________________
Daytime Phone(_________)_____________________________________

Shipping Address (If Different)

Name:______________________________________________________
Address:____________________________________________________
City:______________________________State:______Zip:____________
Method of Payment: (please circle one)
Check/Money Order    Visa     MasterCard     American Express    Discover/NOVUS

|_|_|_|_|-|_|_|_|_|-|_|_|_|_|-|_|_|_|_| Exp. Date|_|_|/|_|_|

Name of Cardholder_____________________________________________
Signature______________________________________________________
Address:______________________________________________________
City:_________________________State:_____Zip:____________________
All Orders must be prepaid (Order will not be proccessed until payment is received)

|QTY|Catalog Number|         Item Name/Description              |Item Price|Total Price|
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|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
|___|_|_|_|_|_|_|_|_|_|_____________________________________|________|________|
                                                                                                         Sub-total   |________|
                                                                                   Shipping and Handling |________|
                                                  Tax (texas residents add 8.25% of Sub-total)*|________|
                                                                                    Total Amount Enclosed|________|
*If exempt please write your tax exempt number below or include certificate
Tax Exempt No.___________________________________________

Mail or Fax To:
Puppet Productions
PO Box 1066
Desoto, Tx 75123-1066

Fax: 972-709-8849