Please complete this form

Mental Champions
(formerly AMESTAR.com)

Contact us at MentalChampions@aol.com
or phone: 1-949-786-2070 for mailing address

Please complete and mail this form along with your check or money order

Your name and address:

Name: _____________________________________

Address: ___________________________________

City, State, Zip: ______________________________

Phone number: ______________________________

Email address: _______________________________

CD costs $ 20 + Free shipping and handling.
S&H is $2.50 for each additional CD sent to the same address

Quantity Cost Shipping&Handling Total

1 $20 Free $20.00

2 40 $ 2.50 $42.50

Qty Description TOTAL

Basketball Audio CD(s)

Trading Card costs $5 including shipping and handling

Qty	Description	TOTAL
	Ryan Forehan-Kelly Trading Card

Quantity	Cost	Shipping&Handling	Total
1	$20	Free	$20.00
2	40	$ 2.50	$42.50