SIZE (circle one) | PRICE | QUANTITY | TOTAL EACH | |
---|---|---|---|---|
Zip up Hoodie -Navy | S M L | $28.- | ||
Black T-Shirt | S M L XL XXL | $12.- | ||
Blue T-Shirt | S M L XL XXL | $12.- | ||
Jade Green T-Shirt | S M L XL XXL | $12.- | ||
For Motion Discomfort - 11 song CD | $11.- | |||
Planeside-7 song CD | $7.- | |||
Split 7" vinyl w/ The Eventide | $3.- | |||
1" button & stickers | $1.50 | |||
S & H (U.S. only) | included | |||
TOTAL | |
name
|
________________________________________ |
phone
|
________________________________________ |
street
|
________________________________________ |
city
|
________________________________________ |
state
|
___________________ Zip__________________ |
e-mail
|
________________________________________ |
Please make
all checks & money orders out to Planeside (No
Cash Please)
Send your orderform and payment to:
PLANESIDE
P.O. Box 550
Purchase, N.Y. 10577