Mon Valley Push Merchandise Order Form
| Item |
Price |
Qty |
Color (Tees) |
Size |
Total |
| 'REALITY' cd |
$12 |
||||
| T-shirt |
$10 |
Child |
|||
| T-shirt |
$10 |
S |
|||
| T-shirt |
$10 |
M |
|||
| T-shirt |
$10 |
L |
|||
| T-shirt |
$10 |
XLG |
|||
| T-shirt 2XXL |
$12 |
2XXL |
|||
| Hat |
$10 |
||||
| Bandana |
$8 |
||||
| Water Bottle |
$1 |
||||
| Towel |
$8 |
||||
| Shipping |
$2.00 |
||||
| TOTAL |
|||||
Please
fill out the form, and mail along with check or money order to:
Frank Stetar
650 Pike Run Drive
Daisytown PA 15427
Please
add $2.00 for shipping and handling.
Please fill out your shipping address:
Name_________________________________________________
Address________________________________________________
City__________________________State_________Zip_________