Order Form for Full Unit Hookup

Ordering Information

A sample copy of Full Unit Hookup is five (5) U.S. dollars (US & Canada).

A sample copy of Full Unit Hookup is eight (8) U.S. dollars (International).

Conical Hats Press Order Form
Number of sample copies of FUHU (US & Canada).		_____	× $ 5.00 =	________
Number of sample copies of FUHU (International).		_____	× $ 8.00 =	________
Please make check/money order (in U.S. funds only) payable to Mark Rudolph.

Your Name:	__________________________________________________
Your Address:	__________________________________________________ __________________________________________________ __________________________________________________
Your Email:	__________________________________________________ (not required)
Date:	______________________

Mail your check/money order and the completed order form to the following address.
Mark Rudolph Conical Hats Press 622 West Cottom Avenue New Albany, IN 47150-5011 USA

Please keep a copy of your completed order form for your records.