SUSAN SILO SIGNED MERCHANDISE ORDER FORM
Print this form, fill it out including the quantity of each photo, and mail to the address
below with the appropriate payment and a self addressed envelope.
    Photo
Qty.
Item #1
Susan Silo
Color Head Shot - $30
_____
Item #2
Susan Silo
Batman - "Mousey"
Black & White - $25
_____
Item #3
Susan Silo
Riddler & Mousey
Black & White - $25
_____
Item #4
Susan Silo
Riddler & Mousey (side)
Black & White - $25
_____

Color Head Shot Selected         __________ X $30 = _______ + $4.50 processing
Black & White Photos Selected    __________ X $25 = _______ + $4.50 processing
Personal Cards Provided          __________ X $15 = _______ + $4.50 processing
Personal Photos Provided         __________ X $20 = _______ + $4.50 processing

TOTAL AMOUNT ENCLOSED $________________

Include a Self Addressed Prepaid Envelope (suggested a photo mailer that will fit the item flat).
Make Check or Money Order Payable to:

Susan Silo Productions
22287 Mullholland Highway, Suite 403
Calabasas, CA 91302

NAME: ___________________________________________

ADDRESS: ________________________________________

________________________________________________

EMAIL: __________________________________________
Please allow 2 weeks for delivery.