MERCHANDISE
ORDERING PAGE
to
place your order first print this page, specify items and quantity and mail
check or money order and this page to: MUZZY LUCTIN, 5412 Congress Ave., Madison,
WI 53718
****please
make all checks or money orders payable to DARREN SODERHOLM****
ORDERS
OF MULTIPLE ITEMS NEED ONLY INCLUDE $5.00 TOTAL FOR SHIPPING
Muzzy
Luctin - Symptoms Of A Simple Life CD
$12.00
plus $3.00 shipping in US (international orders please add $3.00)
Quantity
_____
Muzzy
Luctin black logo T-shirt
available
in large & ex. large
Size
_____
Quantity
_____
Sleeveless
"Symptoms" T-shirt
available
in large & ex. large
$15.00
plus $3.00 shipping in US (international orders please add $3.00)
Size
Quantity
_____
_____
Symptoms
Of A Simple Life poster
approx.
10'' X 17"
Quantity
_____
Muzzy
small sticker
approx.
6" X 1.5"
$1.00
includes FREE SHIPPING
Quantity
_____
Inner
Sanctum - "Geisha Made" CD
$12.00
plus $3.00 shipping in US (international orders please add $3.00)
Quantity
_____
Magic
7 CD
$10.00
plus $3.00 shipping in US (international orders please add $3.00)
Quantity
_____
WJJO
Rockin' The Midwest 2001 CD
includes
"River"
$5.00
plus $3.00 shipping in US (international orders please add $3.00)
_____
Quantity
NAME
_______________________________________
ADDRESS
_______________________________________
CITY
_______________________
STATE
______________
ZIP/
POST CODE
____________
COUNTRY
_________________
E-MAIL
ADDRESS
_______________________________________
all
orders will be processed immediately. International orders please allow 2 weeks
for delivery.
yes!!
please add my name to the Muzzy Luctin e-mail list!!!!
___
White
"Symptoms" T-shirt
available
in large & ex. large
$12.00
plus $3.00 shipping in US (international orders please add $3.00)
Women's
Black Spaghetti Strap Top
available
in small, medium & large
$12.00
plus $3.00 shipping in US (international orders please add $3.00)
Size
Size
_____
_____
Quantity
Women's
Black Tank Top
$12.00
plus $3.00 shipping in US (international orders please add $3.00)
available
in small, medium & large
_____
Quantity
_____
Size
_____
_____
$10.00
plus $3.00 shipping in US (international orders please add $3.00)
$3.00
plus $1.50 shipping in US (international orders please add $1.00)
Quantity
Inner
Sanctum - "The Changeling" CD
$12.00
plus $3.00 shipping in US (international orders please add $3.00)
Quantity
_____
WJJO
Rockin' The Midwest 2002 CD
includes
"Smile That Big"
$5.00
plus $3.00 shipping in US (international orders please add $3.00)
_____
Quantity
