Name ______________________________________________________________________________ 

Date ________________200__

Address ____________________________________________________________________________ 

City ___________________________________________ 

Province/State ___________________________________ 

Country ________________________________________ 

Postal/Zip Code _____________ 

Telephone # area code (_____) ______________________ 

e-mail (if available)___________________________ @_________________________________

Retail Price (after March 11, 2009): $45.00 (plus $10.00 shipping & handling each).

Quantity________      Total amount enclosed with this Order Form   $_________ 

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Please send Cheque, Money Order, or Bank Draft in Canadian funds to: 

Spirit Wrestlers Publishing 
882 Walkley Road 
Ottawa, Ontario  
Canada K1V 6R5

If there are any questions, please fax (613-737-5778) or
e-mail: kjtarasoff@gmail.com