SOH/01C
                     Starlight Boutique - Order Form


Name: ____________________________________________________________

Address: _________________________________________________________

         _________________________________________________________

City: ________________________ State: _____  Zip: ________________

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| T-Shirts  Colors: Black, Cardinal, Forest Green, Oceana (misty blue)       |
|           Child Size Colors: Black Forest Green                            |
|                                                                            |
|    Color     |      Size (circle)       | Quantity |   Price   |   Total   |
|              |                          |          |           |           |
|              |  6-8  14-16  L  XL  XXL  |          |   15.00   |           |
|              |  6-8  14-16  L  XL  XXL  |          |   15.00   |           |
|              |  6-8  14-16  L  XL  XXL  |          |   15.00   |           |
|              |  6-8  14-16  L  XL  XXL  |          |   15.00   |           |
|______________|__________________________|__________|___________|___________|
|                                         |          |           |           |
| Mugs (marbled or blue)                  |          |    7.50   |           |
|                                         |          |           |           |
| Caps                                    |          |    5.00   |           |
|                                         |          |           |           |
| Brief Bag (black)                       |          |   10.00   |           |
|                                         |          |           |           |
| 1996 Historical Calendar  (b/w)         |          |    5.00   |           |
| 1997 Historical Calendar  (b/w)         |          |    5.00   |           |
| 1998 Historical Calendar  (b/w)         |          |    5.00   |           |
| 1999 Historical Calendar  (b/w)         |          |    5.00   |           |
| 2000 Historical Calendar  (b/w)         |          |    5.00   |           |
| 2001 Millenium Calendar   (color)       |          |   10.00   |           |
| 2002 Calendar             (color)       |          |   10.00   |           |
|                                         |          |           |           |
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                                                      SUB-TOTAL:  ___________

                        California Residents add 8.0% sales tax:  ___________

                                           Shipping (see below):  ___________
 Payment (circle):  Check  M/O  Visa  MC                  
                                                          TOTAL:  ___________ 
 Visa/MC #: ______ - ______ - ______ - ______
                                                    | SHIPPING:  < $15: $ 4.95
 Exp. Date: ____ / ____  Phone: (____) ___ - _____  |  $15.01 - $30.00: $ 6.95 
                                                    |  $30.01 - $45.00: $ 7.95
 Signature: _______________________________________ |  $45.01 - $60.00: $ 9.95
                                                    |  $60.01 - $75.00: $10.95
                                                    |  $75.01 - $90.00: $12.95
 Make Checks to:  Mount Wilson Institute            |  $90.01 -$100.00: $14.95
                                                    | $100.01 -$125.00: $16.95
 Send to:    Starlight Boutique                     | $125.01 -$150.00: $18.95
             740 Holladay Road                      | $150.01 -$200.00: $21.95
             Pasadena, CA  91106                    | $200.01 -$250.00: $24.95
                                                    |           > $250:   10%
 OR FAX this form to: (626) 793-4570                | US addresses only! 
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