Print this form and send it in with your money order payment

To buy your Mexican Loteria games, send a money order to:

Bryant Holman
Fausto's Art Gallery
POB 470
Presidio, Texas 79845

Questions? E-mail me at loteria@ojinaga.com 

  one game  with shipping and handling - $4.99 + $3.15 = $8.14
  two games with shipping and handling - $4.99 x 2 = $9.98 + $3.15 = $13.13
three games with shipping and handling - $4.99 x 3 = $14.97 + $3.15 = $18.12
 four games with shipping and handling - $4.99 x 4 = $19.96 + $3.15 = $23.11
 five games with shipping and handling - $4.99 x 5 = $24.95 + $3.15 = $28.10
  six games with shipping and handling - $4.99 x 6 = $29.94 + $3.15 = $33.09
seven games with shipping and handling - $4.99 x 7 = $34.93 + $3.15 = $38.08
eight games with shipping and handling - $4.99 x 8 = $39.92 + $3.15 = $43.07
 nine games with shipping and handling - $4.99 x 9 = $44.91 + $3.15 = $48.06
  ten games with shipping and handling - $4.99 x 10 =$49.90 + $3.15 = $53.05

I want _________ loteria games and I am including a money order in the

amount of $ _______ US Dollars for the games and for shipping and handling.

My mailing information is as follows:

                             name _________________________________________

street address or post office box _________________________________________

                             city _________________________________________

               state, and zip code_________________________________________



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