Comics Underground Japan Order Form

Name: _________________________________________ Street Address: _______________________________ City: _________________________________________ State/Prefecture: _____________________________ Country: ______________________________________ E-mail Address: _______________________________ Phone/Fax (Optional) : ________________________ Please make your check or money order payable to MANIFORM, and mail with this form to:
Maniform Creative Services
71 Leonard Street
New York, NY 10013
U.S.A.
Costs: Book................$14.95 Shipping............$ 2.50 one book, $1.00 each additional. NY Residents please add 8.25% sales tax. For international rates and further explanation, please see previous page.
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