Yumi Lee Souvenirs Mail Order Form

Please print this order form and send to:

Yumi Lee
P.O. Box 14137
Scottsdale, AZ 85267


Your Name:____________________

Address:________________________
            ________________________
            ________________________

Email:_________________________


Would you like your item(s) autographed?  YES / NO

ITEM NUMBER	PRICE
#	$
#	$
#	$
#	$
#	$
PLUS SHIPPING & HANDLING	$ 6.00
(INTERNATIONAL)	$10.00 (INT ONLY)
TOTAL	$

* Please note, only money orders/cashiers checks in US funds are accepted.
* Please make orders payable to my webmaster,
   Brian Wood

Please sign and date below to certify you are at
least 18 years of age.

________________________________________
                      Signature / Date