Print this form with your selections indicated and mail with your
payment to the address below. For Visa and MasterCard orders call
325-673-7729 and press # 3 or online at:
www.independentbands.com
Name_________________________________________________
Address_______________________________________________
City__________________ State____________
Zip ____________
| Live at Grace | ||
| _______ | CD x $ 15.00 = | _____ |
| 3 Song CD | ||
| _______ | CD x $ 5.00 = | _____ |
| Declaration | ||
| _______ | CD x $12.00 = | ______ |
| _______ | Cassette x $10.00 = | ______ |
| Hallelujah | ||
| _______ | CD x $10.00 = | ______ |
| _______ | Cassette x $8.00 = | ______ |
| Light | ||
| _______ | CD x $12.00 = | Sold Out of CDs |
| _______ | Cassette x $10.00 = | ______ |
| Journey Home | David Frush | |
| _______ | CD x $12.00 = | ______ |
| JB T-Shirt | Brown - Please
Include Sizes (Sm, Med, Lg, XLg) |
|
| _______ | T-Shirt x $15.00 = | ______ |
| JB T-Shirt | Red - Please
Include Sizes (Sm, Med, Lg, XLg) |
|
| _______ | T-Shirt x $15.00 = | ______ |
| JB T-Shirt | Pink - Please
Include Sizes (Sm, Med, Lg, XLg) |
|
| _______ | T-Shirt x $15.00 = | ______ |
| Shipping Please add $2.00 per item up to $6.00 | ______ |
| Total | ______ |