Pamelyn Ferdin
Autograph Mail Order Form
Mail to:    Pamelyn Ferdin
171 Pier Avenue #453
Santa Monica, CA 90405

Instructions:
Fill out this form, use your browser to print, then sign
and mail with payment.

Photograph

Special inscription (example: To John, my greatest fan)

Price

Subtotal:  

$

U.S. $4, Non-U.S. $6    Shipping:  

$

Total:  

$
 

For additional photos, use plain paper if necessary
 

Payment Type:    Personal Check   Cashier's Check   Money Order   Other  

Shipping Information

Name: 
Address 1: 
Address 2: 
City:    State/Prov:
Zip/Postal Code:  Country:

E-Mail Address: