Geominos - Order Form

Print this page using your browser's Print feature.
(Click to return to the Purchase by Check page.)
Then fill out the form and enclose your check or money order, made out to:
Hilaria & Ludi

Mail the form and check to:
Hilaria & Ludi
PO Box 19200
Minneapolis, MN 55419-9998

If you're ordering games to be shipped to more than one address, use a
separate form for each order. You can combine all your purchases into one check.

Billing Information	Shipping Information
	Check here if same as billing address. If not, fill in shipping information.
Name:	Name:
Address 1:	Address 1:
Address 2:	Address 2:
City:	City:
State/Province:	State/Province:
ZIP Code:	ZIP Code:
Country:	Country:
Phone:	Phone:
Email address:
Order Information
Number of games:	Check shipping method: Ground 2nd Day
Check shipping location: Outside Minnesota MN, not Hennepin County Hennepin County, MN
Charges (from table on "Purchasing by Check" page)
Game subtotal:
Shipping:
Sales tax:
Total:

Thanks for purchasing Geominos.