THE CAPITALIST PIG LLC ORDER FORM   
                          
                          Complete and Mail Form to:
        The Capitalist Pig LLC, 7705 N.W. 74th Terrace, Kansas City, MO 64152
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Ordered by:                              Ship To: (If different than Ordered By)

Name: ________________________________  Name: ________________________________ 
                                               
Address: _____________________________  Address: _____________________________  
                                              
City: ________________________________  City: ________________________________ 

State: ________________ Zip: _________  State: _______________  Zip: _________

Phone:  Day (____)___________________   (In case we have a question about your
    Evening (____)___________________     order.)
E-mail address: ______________________________________________________________

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Qty         Description                                Price Ea.       Total 
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                                               Total This Page |______________      
                                             Total Other Pages |______________
         SHIPPING & HANDLING: 
        ($9.50 minimum or 15% on orders $100 or more (US only) |______________
                                     Sales Tax (Missouri only) |______________
                                         Add $10.00 for C.O.D. |______________
                                                         Total |______________

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                             Method of Payment
                                 (Circle)

(NOTE:  Allow 4-6 weeks for shipping.)  

Payment Enclosed:  /__/ Check or Money Order 
                   /__/ Credit Card:

        MasterCard    Visa     Discover   American Express

                            Credit Card Number:                        

                            |_|_|_|_|  |_|_|_|_|  |_|_|_|_|  |_|_|_|_|

                                Expiration Date: |__|/|__|

                            X_________________________________________________
                               Signature (Required for all Credit Card Orders)

All prices and terms subject to change.