Ordering Information:
(Please put "O-Town Special Offer" on your envelope or fax to help us sort the mail more quickly)

By Mail to:
O-Town Official Fan Club
PO Box 5488 Bellingham, WA
98227 USA

By Fax to: (604)904-0918

Order Form:
Bobble Head(name of O-Town member(s)_____________________________________________
Quantity?(indicate # of Bobble Heads) #_____________
Subtotal($14.95 each) $_____________
Postage and Handling-USA ___$5.95each__
Postage and Handling-International fans ___$10.00_____ add to above
postage/handling total TOTAL AMOUNT $_____________

Visa________ MasterCard________ for TOTAL AMOUNT $____________________
(note: Orders will appear on your bill as O-Town Fan Club)

Bill To (Please Print):
Name_______________________________________________________________
Address _____________________________________________________________
City ____________________________________State_______ Country__________
Zip Code _______________ E-Mail Address ________________@______________
Telephone (_________) _________- ________________________ (include area code)
Name as it appears on card(print)_________________________________________
Signature_____________________________________________________________
Account No. ______________________________________Exp.Date____________
Ship To (Please Print):(If different from above)
Name _______________________________________________________________
Address _____________________________________________________________
City ____________________________________State_______ Country__________
Zip Code _______________ E-Mail Address ________________@______________
Telephone (_________) _________- ________________________ (include area code)

Please Note: The O-Town Fan Club will only be responsible for processing your credit card order. All orders will be fulfilled by a third party and any concerns regarding your order should be directed to: Mr.K.Katz @ 516-889-2300

Officially Licensed Product. 2002 MTV Networks, a division of Viacom International Inc., and Trans Continental Television Productions, Inc. All Rights Reserved.