Order Form

 
 

I would like to order Lynne the Lyme Bear. Cost is $10.00 per bear (includes shipping) for U.S. orders, and $15.00 per bear for all others.

Proceeds of Lynne the Lyme Bear go to Dr. Hoffmann's
Legal Defense Fund!
We thank you for your support!


PRINT THIS FORM
and mail along with check or U.S. Postal Money order
made payable to: "Allegory Ltd"

Mail to:
Hoffmann Fund
Attn: PJ Langhoff
PO Box 444
Hustisford, WI 53034, USA
 

Quantity:  (adjust quantity accordingly) 

Please indicate your shipping information below. Please include phone number or email in case there are questions about your order.

Ship To:
Full Name

Address 

PO Box or Apt.

City State Zip 

Daytime phone number ( ) -

Email address

Special notes about order: (leave on porch, etc.)

THANK YOU FOR YOUR SUPPORT!!

 

 

Home  |  Contact Us  Click to Contribute to our site