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PRODUCT ORDER FORM (PART 1)

NOTE: YOU ONLY NEED TO FILL OUT ONE PART 1 OF THE ORDER FORM (ABOVE) IF ALL PRODUCTS ARE SHIPPING TO THE SAME ADDRESS AND TO THE SAME PERSON.

NOTE: FILL OUT A SEPARATE PART 2 OF THE ORDER FORM (BELOW) FOR EVERY PRODUCT YOU ORDER FROM PAINPANG.COM.

PRODUCT ORDER FORM (PART 2)

• FIRST PRINT OUT AND THEN FILL OUT BOTH PART 1 & 2 OF THIS PRODUCT ORDER FORM IF YOU ARE PURCHASING A BOOK, DVD OR T-SHIRT. SNAIL MAIL BOTH PARTS OF THE COMPLETED ORDER FORM, WITH YOUR PAYMENT, TO THIS ADDRESS:

Painpang.com, P.O. Box 1005

Buffalo, New York 14231-1005, USA

• BUT IF YOU ARE ORDERING AN ORIGINAL SIGNED SILKSCREEN, DO NOT INCLUDE ANY FORM OF PAYMENT WITH YOUR ORDER. YOU WILL BE ASKED TO SEND PAYMENT ONLY AFTER YOU HAVE APPROVED THE FINAL ARTWORK CREATED FOR YOU. TO ORDER YOUR SILKSCREEN, JUST FILL OUT AND SNAIL MAIL THESE SAME FORMS (TO THE SAME ADDRESS) WITH YOUR SILKSCREEN ORDER ON IT AND BE SURE NOT TO INCLUDE PAYMENT AT THIS TIME. THANKS FROM EVERYONE AT PAINPANG.COM.