Order-by-Mail Form

Order Form For
City of Los Angeles Neighborhood Map

For Orders to U.S., U.S. Possession & APO/FPO Addresses ONLY
Please print, fill out and mail this form with your check to:

Given Place Media
Attn: Map Order
P.O. Box 2253
Montebello, CA 90640
Order From:

Name _______________________________________________________________________

Street________________________________________________________________________

City______________________________________ State___________ Zip ________________

Email Address*________________________________________________________________

* Provide an email address only if you wish to receive a notice of your order being shipped
with the UPS tracking number.

Please ship ________ copies of City of Los Angeles Neighborhood Map

Single Copy Price: $35.00 (price includes taxes & shipping)

For the total order price, multiply the number of copies ordered by the single copy price.

Total amount enclosed $__________ (Please make check out to Given Place Media)

In order to prevent any delay in fulfilling your order, please double check your total amount enclosed.

Delivery address (if different from above):

Name_______________________________________________________________________

Street_______________________________________________________________________

City______________________________________ State___________ Zip _______________

Thank you for your order!

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