The Babbage Patch
Order Form
(print this form and fill it out)
Item
Unit Price
Qty.
Total
"Alien Sam" cast resin bust [pre-painted]
(circle paint style)
RW&B - Green - Bronze
$39.95
"Alien Sam" cast resin bust kit
$24.95
"Bond" replacement head
$5.00
Shipping & Handling
"Alien Sam" bust = $5.00 first bust, $2.00 each additional bust
"bond" head = $1.50 first head, $0.75 each additional head
Make check or money order payable to
Charles Babbage
.
Sorry, no C.O.D.
Please allow 3 to 4 week delivery
Shipping
Total
Name:_____________________________________________________________
Street:_____________________________________________________________
City:_______________________________
State:________
Zip:_____________
Phone:_______________________
Email:________________________________
(optional)
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Thank you for visiting
BABBAGEPATCH.COM
Mail this form to:
The Babbage Patch
9089 SE Scottstree Way
Clackamas, Oregon 97015