Order Form
Name:_________________________________________________________________
Address:______________________________________________________________
City:________________Prov./State:_____________Postal/Zipcode:_________
E-mail address:_______________________________________________________
Please send me: Shirt(s):            Sticker(s):
      quantity: __Hangman            __Hangman
                __Question Man       __Question Man
                __Eat Man            __Eat Man
                __Smash Guitar       __Smash Guitar
                __Eat Apple          __Eat Apple
                __Singer Man         __Singer Man
                __Bomb               __Bomb
                __Music Man          __Music Man
                __Mexican            __Mexican

                __Total x $15.00     __Total x 
Amount Enclosed(don't forget $2.00 s&h):______________________________

Print this page out and send it to:

S.C.B. Designs
2513 13th Ave S
Lethbridge, AB
T1K 0S7

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