Bud Life Merchandise Order Form
                                
Authentic Indian ceremonial tobacco pipes:

     Short pipe:         Price: $100.00 each      Quantity: ____________

     Long pipe:          Price: $150.00 each      Quantity: ____________

     Stemless pipe:  	 Price: $35.00 each	  Quantity: ____________

     Merchandise subtotal: $________________

Shipping, handling and insurance(note 1):

     Short pipe: $12.00 per item within the 48 contiguous states only.

     Long pipe:  $14.00 per item within the 48 contiguous states only.

     Stemless:   $5.00 per item within the 48 contiguous states only.

     Shipping and handling: $________________

Grand total:

     Total due: $________________

Method of payment:

     Money order: _____ International money order: _____ Cashiers (bank) check: _____

Delivery time frame:

     Domestic orders, allow four to six weeks for delivery.
     International orders will vary by country.

Shipping information (note 2):

     Email address (note 3): ___________________________________________

     Name: _____________________________________________________________

     Street address: ___________________________________________________

                     ___________________________________________________

     City: _____________________________________________________________

     State or country: _________________________________________________

     Zip or postal code (if applicable): _______________________________

Mail to:

     Mail completed order form and total due to:

          Bud Life (Attn: Merchandise Dept.)
          P.O. Box 218
          Tollhouse, Calif. 93667

                   ** All sales are final **


________________________________________________________________________
Notes:

	1. For orders outside the 48 contiguous states, contact Bud Life 
(merchandise@budlife420.com) prior to placing your order  so that we may 
provide you with the correct shipping, handling and insurance cost.

	2. Privacy note:  No information listed herein shall be given or 
sold to anyone.  Bud Life desires to earn your trust, not destroy it.

	3. Needed to notify you of: (1) order confirmation, (2) order number 
and (3) shipping status.