Please Print This Order Form and Enclose it With Your Mailed Payment

"I want to purchase the following 5" x 7" changing portraits checked below. Enclosed is my check or money order payment made payable to EDDIE ALLEN. I understand that there will be a 7-10 day waiting period for checks to clear before merchandise will be shipped, but that money order payments will ship out within three days of being received."

___ AUNT MADELINE ($14.99)

___ AUNT POLLY ($14.99)

___ COUSIN DRUSILLA ($14.99)

___ GRANDPA ESBAT ($14.99)

___ GRANNY GERTRUDE ($14.99)

___ LITTLE RUTHIE ($14.99)

___ UNCLE BERNIE ($14.99)

___ UNCLE CHARLES ($14.99)

___ UNCLE JASPER ($14.99)

___ UNCLE PERCY ($14.99)

TOTAL ENCLOSED = _________________

Please Print Your Shipping Information LEGIBLY! Illegible writing may result in a delay of your order!

NAME: ______________________________________________________________

ADDRESS: (Line 1): _________________________________________________

ADDRESS (Line 2): _______________ Apt #: ______________

CITY: _____________________ STATE: _______ ZIP CODE: _____________

CONTACT PHONE #: ( ) _________________ E-MAIL: ______________________________

Please mail your payment to: EDDIE ALLEN / P.O. BOX 3584 / SEAL BEACH, CA 90740

Thank You for Your Purchase From "Haunted Memories Changing Portraits!"
Questions? Call 562-810-5317. Tell Your Friends About www.hauntedmemories.com!