JoanSeverance.com official site

x  $20.00

total in USD$  =  

=

=

=

=

  x  $5.00       =

photo quantity

Autograph Order Form                                                         click here for Continental US order form

JoanSeverance.com  official site

Order Total with ship&handling

Send Order Total amount with an International Draft in USD made out to:        Joan Severance

SEND TO:

Joan Severance

Attn: Autographs

P.O.Box 282

Carbondale, CO 81623

If you wish to send an item of  Joan to have her autograph it please print this page, fill it in, send the printed page,the item/s you wish autographed and a USD money order(only) in the amount due, to the address at the bottom of form.

Your Name:                                 _________________________________________________

Ship to Name & Address:         _________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Your e-mail: _____________________________________________________________

(to send notification via e-mail when we receive&send your items)

regular photos of Joan Severance

nude or Playboy photos of Joan Severance/just photos

Playboy covers of

Joan Severance/just cover

Joan Severance Playboy

magazine issue/entire mag

=

Black Scorpion Book

please write ALL personalized instructions on a separate paper and make sure that the instructions CLEARLY identify which item the inscriptions go on

Book/Magazine quantity

jsR01

jsN01

jsPC01

jsPM01

jsBSB

x  $35.00

x  $50.00

x  $35.00

x  $30.00

  x  $10.00     =

SEND TO:

Joan Severance

Attn: Autographs

P.O.Box 282

Carbondale, CO 81623