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 Services71 Leonard StreetNew York, NY 10013U.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.