Ugly Bug Poster On-line Order Form

To order an Ugly Bug Poster, please complete the form below and then click on the "Submit" button. You will be notified once your form has been received. All orders must be pre-paid.

Posters are $9.00 each and include the cost of shipping. Please make money orders and checks payable to:

Order Form

Number of Posters Ordering ...... 

First Name.......

Last Name........

Home Address.....

City.............

State............

Zip/Postal Code..

Organization/Institution......

Home Phone........

FAX............... 

Email Address.....
I understand that I need to send you my money order/check before this item is shipped to me.

Send questions or comments regarding this form to: Julie.McCormick@nau.edu

Last update 24 April 1997

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