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The Stand - Order Form

Print out order form and mail it along with cash, check, or money order.
If you do not have a printer, write out your order by hand.

Address (make payable to):     

Chris Davis
4939 NW 58th Ave
Coral Springs, FL 33067
 
Select your size and color from the drop down menus then check the boxes of the items you wish to purchase.
Product Name SIZE Cost S&H Total Items
"Face Down At The Bottom Of A Well LP" (Demo CD) $2.00 $3.00 $5.00
"A Radio's Silence" Lyrics T-Shirt $8.00 $5.00 $13.00
BOTH Demo CD & Shirt $9.00 $5.00 $14.00
GRAND TOTAL $
 
PLEASE PRINT

First Name:____________________________ Last Name:_____________________________

Address:_____________________________________________________________________

City:___________________________________ State:_____________ Zip:________________
E-mail:______________________________________________________________________