TOTALLY INSANE GAME
ORDER FORM

Contact name:
Mailing Address:
School:
Email Address:
Daytime Phone:
Fax:
# of games:

Form of payment:
Fax order to 435-713-4286
Submit payment via paypal*
Send payment via regular U.S. Mail to 940 East 320 North, Logan, Utah 84321

*All credit card payments must be made via paypal. Send payment to Sharilee@AmericaTakingAction.com

^*plus Postage:
One Deck at $4.50
$3.00 Each Additional Deck

The Internet Advisor
940 East 320 North
Logan, Utah 84043

For more information or to order
THE TOTALLY INSANE Card Game,
please e-mail us at: TotallyInsane@AmericaTakingAction.com
Or Call 435-753-1745

Thank You for Your Order!