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