Order Form for Gontza Games

ORDER FORM FOR GONTZA GAMES PRODUCTS

PLEASE PRINT AND MAIL TO ADDRESS BELOW.

 

NAME__________________________________________________

 

SHIP TO ADDRESS________________________________________

 

DAYTIME PHONE: _______________________________________

EVENING PHONE: _______________________________________

 

EMAIL ADDRESS: _______________________________________________

 

MINDFIELD: $52.40 EACH

CHRISTMAS CARDS: $17.85 EACH

PASS THE GROGGER!: $15.73 EACH

 

# MINDFIELD: ____________________ X $52.40 = TOTAL DUE: ____________

# CHRISTMAS CARDS: _____________ X $17.85 = TOTAL DUE: ____________

# PASS THE GROGGER!:____________ X $15.73 = TOTAL DUE: ____________

COUPON CODE: _____________   DEDUCT FROM TOTAL DUE: ____________

# GAMES ORDERED:  _____________          

TOTAL DUE FOR ALL GAMES: $_______________________

 

 

PLEASE MAKE CHECK OUT TO GONTZA GAMES AND MAIL TO:

GONTZA GAMES

PO BOX 1191

ROSLYN, PA 19001

 

QUESTIONS? CALL 215-605-5231

 

HOW DID YOU HEAR ABOUT GONTZA GAMES? _____________________

 

THANK YOU FOR YOUR ORDER!