Order Form
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Quantity:   Description:   Price:   Sub-Total:
  "Riding Lessons"
autographed by Bo! 		  US $50.00  
  Glossy 8"x12"
autographed by Bo!		   US $25.00  
  18" x 26" Poster   US $25.00  
  Playboy(s)
for Autographing		   US $25.00  
        Sub-Total:  
Tax only applies to CA residents. Tax Rate:  
Shipping Charges:
Within USA: $10          International: $25		 Shipping:  
        Total:  
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Our address: When you are done printing this document, you may MAIL it to as at:
Bo Derek Website
PO Box 1940
Santa Ynez, CA 93460 - USA

or, you may FAX us at:
(805) 686-1631