Flying Moose Stuff Order Form  
2912 Remea Court    Mississauga, Ontario Canada L5L 2H5.     

    Your Real Name *  
    E-Mail Address  
    Address *  
    City *  
    State/Province *       Country      *  
    Zip/Postal Code *  
*Required Field

  T-Shirt - Serious Size Quantity  X $27.00 U.S. =
  T-Shirt - Comic Size Quantity  X $27.00 U.S. = 
  Mug - 1 sided   Quantity  X $16.95 U.S. =
  Mug - 2 sided   Quantity  X $21.95 U.S. =
  Moose Pad   Quantity  X $16.95 U.S. =
      7% PST (Ontario residents only)


You may your order via email it will be completed when payment by cheque or money order is received at the address shown below, otherwise please this form and send with payment to:

Elliot Hudes
2912 Remea Court
Mississauga, Ontario
L5L 2H5