NAME: _____________________________________________________________
ADDRESS: __________________________________________________________
CITY: ___________________________________ STATE: ______ ZIP: __________
PHONE: (____ )______________________________________________________
E-MAIL: ____________________________________________________________
| QTY | ITEM | SIZE | PRICE |
| ALBUM "Edge of My Mind" | 10 Tracks | $12.00 | |
| ALBUM "Dirt On My Bones" | 11 Tracks | $12.00 | |
| T-SHIRT BONES (Black / Cream Lettering) | S M L XL 2X | $15.00 | |
| T-SHIRT LUCKY (Black / Red Lettering) | S M L XL 2X | $15.00 | |
| LOGO STICKER (Black / White Lettering) | 3 x 5 | $3.00 | |
|
SHIPPING COSTS: • $3.00 If you order $5 or more • $5.00 If you are outside USA |
$ | ||
|
GRAND TOTAL: CASH OR CHECK (CIRCLE ONE) |
$ |
NOTICE: Checks must be made payable to Brothers In Arms Band, LLC
SEND THIS FORM ALONG WITH CONCEALED CASH OR CHECK TO:
Brothers In Arms Band
619 Bonnycastle Ave.
Englewood, Ohio 45322