-- If you wish to obtain Mara's Autograph ...

or have items you would like her to sign --

Complete, print & mail the form below with cash, check or money order to:

MARA CORDAY - P.O. Box 800393 Santa Clarita, CA 91380-0393

No printer? Request this form via E-mail, or SASE to the above address.

** Please make checks and Money Orders payable to : Mara Corday **

 --------------------------------------------------------------------------------------------------------------

Name:

Street Address:

City, State :

ZIP: Country:

E-Mail Address:

Please Inscribe to (NAME):

  Special Inscription Instructions:

Total Quantity: Full Amount enclosed with this order: $

--------------------------------------------------------------------------------------