Order Form for the Wild Side Store

Print out this page, fill it out, and mail it to:

Tennessee’s Wild Side Store
855 Highway 46 S.
Dickson, TN 37055

I would like to buy ____ copies of “Ernie and Joey’s Reel Adventures” for $11.95 each, plus 9.75% sales tax for Tennessee residents ($1.17), plus $3 shipping and handling, for a total of $________.

I would like to buy the following Episodes on VHS tape or DVD for $9.95 each, plus 9.75% sales tax for Tennessee residents ($.97 each), plus $3 shipping and handling:

__DVD or
__VHS (check one)

Episode#   How Many?
________   _________
________   _________
________   _________

Total:______________

I would like to buy ____ Hats for $12 each, plus 9.75% sales tax for Tennessee residents ($1.17 each), plus $3 shipping and handling for a total of $16.17 each, for a total of $_______.

Circle the kind of hat you want:

Tan Hat | Dark Green Hat | Camo Hat | Visor

I have enclosed a check made payable to The Renaissance Center.

Name:_______________________________________

Address:____________________________________

City:_______________St:_____Zip:____________

Phone:______________________________________

E-Mail:_____________________________________

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