Thank you for your Home Alien Abduction Kit order. Please complete this form and mail it to the address below.  Be sure to include a good quality color photo that shows the abductee’s entire face and your check or money order for $29.99 per kit made payable to TMR Multimedia.  Please complete a separate form for each kit ordered.

Your Name ____________________________

Name of person for whom kit is being purchased (abductee) _________________________________________

Abductee’s age ___                       Abductee’s occupation ____________________________

City and state in which abductee currently resides __________________________________

Mailing address for kit:

Name ______________________________________________   

Address _____________________________________________

City _________________________ State ________ Zip _______

Contact information in case the aliens have a question about your order

Email address: _____________________________________

Daytime phone: ____________________________________

Additional comments:

Mail to:

Alien Marketing

P.O. Box 72

Hallandale Beach, FL  33009