ORDER FORM
Gerry Griffin CD "Hour Glass" Quantity ____
XrAYZ T-shirt Quantity ____
Black with white lettering only
Select size: Medium___ Large___ XLarge___
XXLarge*___ Small*____ available as a special order
(*Allow an additional 2 weeks for delivery)
Prices: Any one item for $22.50 (includes taxes, postage and handling)
Any two or more items for $20.00 each.
Order by email or slug mail. Must be paid in advance of shipping. Sorry - no credit.
Allow 2 - 3 weeks for delivery.
Make cheque or money order payable to Heather Houston or Stew the Dog Management.
Mail to: #196 - 99 Fifth Avenue
Ottawa, ON K1S 5P5
N.B. Make sure you provide a return address and choose a T-shirt size if applicable.
Ship to (name): ______________________________________
Address: ______________________________________
City/Town: ______________________________________
Province: __________ Postal Code: ______________
Telephone: ____________________________
Any Special Instructions: ____________________________________
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