Full Name:  Date:    
 Phone: Referred from:    
 E-Mail:   www.brianstoys.com/buying
 Address:  Delivery Address:   W730 State Road 35
 Fountain City, WI 54629
     Tel:   608.687.7572 ext: 3
     Fax:   608.687.7573
     Email:   buying@brianstoys.com  
 List Category + Items for Sale  Quantity  Buy Price  
 STAR WARS      <---Main brand    
 2009 Clone Wars Collection      <---Year/Line of release    
 3 3/4" Basic Figures                                                                  <---Category type of item    
 Captain Argyus  1     <---Please list alphabetically    
 Hondo O'naka  1         
 2009 Legacy Collection      <--- Separate each year/line    
 3 3/4" Basic Figures                                                                      
 Leia (Slave)  1         
 Ugnaught second version  1     Please leave buy price blank    
**Please include this list when you ship your items**
 List Category + Items for Sale  Quantity  Buy Price