Cinema Wasteland Order Form:

Please fill in all areas, then print form and mail.

*We believe very strongly in our customers' right to privacy. We will never trade, sell, rent, lease, barter or otherwise share any customer information with a third party.

- Check orders are held 14 days from deposit before shipping order.
- Money Orders usually ship within 48 hours of receiving.


If additional space is needed just continue on the back.

*For the cheapest and most accurate shipping:
Please email us the items you want and your zip code. We will email you back with your shipping total.
(merchandise + shipping)
Multiply sub total x .08 if you live in Ohio
(subtotal + OH sales tax)

Please sign the correct age statement that applies to you:

I am over 18 years old - X_____________________________________

I am over 21 years old - X_____________________________________

Please press "Print" in your web browser.
Mail this form along with payment to:

Cinema Wasteland
PO Box 8
Berea, OH 44017

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