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The Anomalist International Order Form


 Your name:__________________________________

Address:____________________________________

___________________________________________

Phone number:_______________________________

Email:______________________________________


 Please check the box for the issues you want:

 The Anomalist 1-------------------------SOLD OUT
 The Anomalist 2..............................SOLD OUT
 [ ] The Anomalist 3............................$9.95
 [ ] The Anomalist 4............................$9.95
 [ ] The Anomalist 5............................$9.95
 [ ] The Anomalist 6............................$9.95
 [ ] The Anomalist: 7...........................$9.95
 [ ] The Anomalist: 8...........................$9.95
 [ ] The Anomalist: 9...........................$9.95
 [ ] The Anomalist 10 .......................$12.95


 Add Postage....$11.00 for the first 2 items plus $7 for each additional item.


 Subtotal: $________



 Total Amount Enclosed: $___________
(Payment must be in the equivalent in foreign currency or by international money order in US dollars.)


 Please send this order form and your payment made out to Dennis Stacy at:

The Anomalist
 5150 Broadway #108
 San Antonio, TX 78209-5710 USA