PROJECT STEIGER - Merchandise Order Form

If you would like to place an order for merchandise, please make your selections below, make check or money order payable to Ken Steiger in U.S. dollars and mail completed form and check to:
Ken Steiger , 7057 Lanewood Ave. #101, Los Angeles, CA 90028
All prices include sales tax Shipping & Handling in US and Canada: All other countries: $2.95 for first item plus $1.00 for each additional (Excluding Buttons and Stickers) item. Please allow 4-6 weeks for delivery.
Item Quantity Price Total
Project Steiger - Defiance - CD
_______
 $10.99 _________
Project Steiger - Black T-Shirt
Large
____
X-large
____
$10.99 _________
Project Steiger - Defiance Sticker
_______
 $2.00 _________
Project Steiger - Defiance Button
_______
 $1.00 _________
     
     
   
 
  Subtotal : _________
  Shipping & Handling (see above) : _________
  Total : _________
E-Mail address:
Name (print):
Address/City/State/Zip:

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