Please send me _______ Verne Langdon's ZOMBIE masks.

At a cost of $140.00 each.

For a total of $ _______.

My name is ________________________________

My address is ______________________________

_________________________________________

e-mail__________________

I understand that I will recieve a numbered copy of

the mask as well as a certificate of authenticity.

Please allow 4 weeks for delivery, as each mask is hand made.