Hagen Prints Mail-In Order Form
Print Out - Fill Out - Mail In (US Funds Only)

Please send the following John Cox in Floyd Head's AA/FD In Stock

• Send me ______ 8 1/2" x 11" Snake @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following "SNAKE": In Stock

• Send me ______ 8 1/2" x 11" Snake @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Doss-Clayton-King AA/FD: In Stock

• Send me ______ 8 1/2" x 11" Magicar @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Magicar: In Stock

• Send me ______ 8 1/2" x 11" Magicar @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Don Prudhomme Wynns Winder: In Stock

• Send me ______ 8 1/2" x 11" Abbott & Goldstein @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Abbott & Goldstein: In Stock

• Send me ______ 8 1/2" x 11" Abbott & Goldstein @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Crossley-Lee-Stewart: In Stock

• Send me ______ 8 1/2" x 11" Crossley Lee Stewart @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Connie Kalitta: In Stock

• Send me ______ 8 1/2" x 11" Kalitta @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Steve "The Mandrell" Carbone(s): In Stock

• Send me ______ 8 1/2" x 11" Mandrell @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Baney & Prudhomme(s): In Stock

• Send me ______ 8 1/2" x 11" Prudhomme Super Snake @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Pete Robinson(s): In Stock

• Send me ______ 8 1/2" x 11" Beebe & Mulligan @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Beebe & Mulligan prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Beebe & Mulligan @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following "Flamin Frank" Pedregon(s): In Stock

• Send me ______ 8" 1/2 x 11" Pedregon Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Freight Train(s) Top Gas: In Stock

• Send me ______ 8" 1/2 x 11" Freight Train @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Steve Carbone prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Carbone Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Tony Nancy prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Nancy Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Kenny Safford prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Safford Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Surfters prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Sorokin-Surfers Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($4.25) -- (Canada $5.75) (Europe-UK $9.00)

Total: ________________

Please send the following Don Ewald prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Ewald Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Fuel Alterd prints(s): In Stock

• Send me ______ 8" 1/2 x 11" AA/FA Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Crossley-Williams-Swain AA/FD(s): In Stock

• Send me ______ 8" 1/2 x 11" CWS Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Gary Ormsby prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Ormsby Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Don Garlits prints(s): In Stock

• Send me ______ 8" 1/2 x 11" Ormsby Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following James Warren prints(s): In Stock

• Send me ______ 8" x 10" Warren Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Alison, Crow & McCarrell(s): In Stock

• Send me ______ 8" 1/2 x 11" Jr. Fuel Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Big John Mazmanian(s): In Stock

• Send me ______ 8" 1/2 x 11" Maz AA/GS Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following The Surfers(s): In Stock

• Send me ______ 8" 1/2 x 11" Surfers Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Tony Nancy(s): In Stock

• Send me ______ 8" 1/2 x 11" Tony Nancy Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

Please send the following Steve Carbone(s): In Stock

• Send me ______ 8" 1/2 x 11" Steve Carbone Prints @ $10.00
• $ ____________ Total Cost of Prints Ordered
• $ ____________ Shipping & Handling for each piece ordered ($2.50) -- (Canada $4.75) (Europe-UK $7.00)

Total: ________________

______________________________________________

Name: ___________________________________________________________

Company: ________________________________________________________

Shipping Address: __________________________________________________

City: _____________________________________________________________

State: _______________________________________ Zip Code: _____________

Mailing Address (if different): _________________________________________

Phone (Days): ____________________ Phone (Eves): ______________________

e-mail Address: ___________________________________________________

Special Instructions:________________________________________________

Select Payment Type: (include payment with form)

Check Payment Type: _____Cashiers _____ Money Order _____ Certified Check
_____ Personal Check
Check Number: __________ (personal checks need to clear our bank before order is shipped)

Make checks payable to: Howard Hagen

Mail Order Form To:
Howard Hagen
1250 W.Grovecenter
Covina, CA 91722

E-mail: Hagen Prints

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