Custom Avatars - ORDER FORM

To order, PRINT and COMPLETE the order page,
make your Bank Check or  Money Order payable to Lars Wyka,
then mail to the address shown below.
Sorry, No Personal Checks please.


Name:______________________________________________

Address:___________________________________________

___________________________________________________

City:______________________________________________

State:_____________________ Zip:______________

E-mail Address:_____________________________________

Phone Number: (____)________________________________

AW Citizen Screen Name:_____________________________

AW Citizen #:______________________________

WORLD Name:__________________________________

* New Lower Prices *

HorseRider w/seqs  _____ Was $90.00 NOW ONLY $45.00  each

STORK _____ Was $75.00 NOW ONLY $15.00 each

SATIN DOVE _____ Was $55.00 NOW ONLY $10.00 each

PINK FLAMINGO _____ Was $75.00 NOW ONLY $15.00 each

RAVEN _____ Was $50.00 NOW ONLY $12.00 each

PENGUIN _____ Was $45.00 NOW ONLY $12.00 each

BIRD SET ______  NOW ONLY $45.00 per set

ROACH _____ Was $90.00 NOW ONLY $20.00 each

DRAGONFLIES _____ Was $55.00 NOW ONLY $20.00 set of 2 incl. SEQ's

CHOOSE COLORS/TEXTURES for DRAGONFLIES _____ $15.00 (You will be contacted for details)

BZZZZZZZ _____ Was $55.00 NOW ONLY $12.00 each

BUG SET ______  NOW ONLY $35.00 per set

JAWA _____Was $40.00 NOW ONLY $10.00 each

LASER STORMTROOPER _____ Was $80.00 NOW ONLY $15.00 each

STORMTROOPER _____ Was $80.00 NOW ONLY $15.00 each

STAR WARS SET ______  NOW ONLY $25.00 per set

(Prices include Tax/Shipping & Handling)

TOTAL # of Avatars ordered _____

TOTAL AMOUNT Enclosed $_____________ U.S. Funds Only

(DELIVERY upon Receipt of Payment)

Make Money Order or Bank Check Payable to: Lars Wyka

Sorry no personal checks please.

Mail to:

Lars Wyka
Heartfall Productions
P.O. Box 200813
Arlington, Texas 76006


E-Mail: avatars@heartfall.com   
AW ScreenName: InSaNiTy

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