PLEASE FILL OUT FORM ONLINE AND PRINT.

MAIL IN YOUR ORDER TO:
Shawn Lopez
PO Box 14636
Irvine, CA 92623
Email: shawn@shawnlopez.com

To purchase product online by credit card, please click HERE


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  1. Please provide the following contact information:
                
               Name    
               Phone   
               E-mail  
    
    
                       YOUR SHIPPING ADDRESS
    
        Street Address 
                  City 
        State/Province 
       Zip/Postal code 
               Country 
  2. PAYMENT METHOD
    Check (Make your check payable to Shawn Lopez
    and include with your order form)
    
    
    PLEASE MAKE YOUR SELECTIONS:

    QTY

    QTY

    QTY

    QTY

    QTY

    CD AMOUNT: PLUS SHIPPING $3.85 GRAND TOTAL

    PLEASE INCLUDE THE PAYMENT FOR THE TOTAL COST WHEN YOU MAIL IN YOUR ORDER.

     

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    THANK YOU FOR YOUR ORDER!