AUTOGRAPH REQUEST FORM
Your Full Name
*
Your Phone Number
*
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E-MAIL
*
Please make sure your e-mail is typed CORRECTLY.
Which celebrities do you want an autograph?
*
(Check all that apply.)
Ann-Margret
Michelle Phillips
Richard Dreyfuss
Ann Blyth
Bruce Dern
Diane Ladd
Cherie Currie
Donna Mills
George Hamilton
Gigi Perreau
Gunilla Hutton
Joan Van Ark
Kim Richards
Linda Kaye Henning
Lori Saunders
Malcolm McDowell
Margaret O'Brien
Martha Kristen
Martha Reeves
Michael Horse
Michele Lee
Mike Guinn
Pam Grier
Stefanie Powers
Tim Russ
Vernon Wells
YOU MUST AGREE TO ALL THE TERMS.
*
We charge a $10 fee per autograph on top of whatever the celebrity charges. In most cases, we do not know what certain celebrities will charge until the day of the event.
You must pay for postage. We will ship protectively and with a tracking number.
If a celebrity cancels, we will not charge you a fee.
You may type any special requests below such as color ink, specific inscription, request for specific TV show or movie. If the celebrity does not have that photo, we reserve the right to get a standard studio profile photo.
All sales final. No refunds. We will not charge your credit card until the autograph is mailed to you.
IF YOU DO NOT FILL OUT THE FORM PROPERLY, AND COMPLETELY, WE WILL NOT FILL YOUR ORDER.
We can get autographs from any celebrity attending the Burbank Hollywood Show (January 2025) besides the celebrities listed above.
All orders must be submitted before January 10. No exceptions.
Did you read all of the terms above? Did you click all the boxes?
SPECIAL REQUESTS
*
What type of photo, specific inscription, who you want the autograph made out to, etc. Please be specific.
YOUR MAILING ADDRESS
Please include your complete mailing address.
MOST IMPORTANT. Check if you read and agree to all of the terms and conditions.
*
Credit Card Info (or type the word PAYPAL)
Credit Card Number, Expiration Date, CSV code, billing zip code
Submitted successfully!
Your submission has been received. Thanks for your time!
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