dManufacture Merchandise
Please print and fill the Following Information
NAME:___________________________________________
ADDRESS:_______________________________________
_________________________________________________
CITY:____________________________________________
PHONE:__(___)___-________________________________
E-MAIL:__________________________________________
Would you like to join our mailing list? |__|Yes |__|No
| dManufacture Merchandise | ||||
|---|---|---|---|---|
| Product | Description | Price | Size | Quantity |
| CDs: | downstem's I'm Your Sin | $10 + $3 S&H | N/A | _____ |
| CDs: | dManufacture (limited edition) | $10 + $3 S&H | N/A | _____ |
| T-Shirts: | coming soon |
|
N/A |
_____ |
| Stickers: | coming soon | N/A | _____ | |
To print this order form click on the "Print" button at the top of your browser or hit your "Ctrl" & "P" keys on your keyboard at the same time.
Send this order form with all the proper information and a check or money order to:
dManufacture
Merchandise
325 Dornoch Ct.
Winter Springs, FL 32708
Make checks payable to David Rankin