|
The Bluegrass Bus Museum Order
Form
Print Form, Fill in Your Order, Send
Check or Money Order Payable To:
Don Clark
8270 Old Springfield Pike
Goodlettsville, TN., 37072
Phone: 1-615-859-9151
Please Print Clearly
Name:
___________________________________________________________________________________
Address:
_____________________________________ City: ______________________ State:
____________
Phone:
_______________________________
Email Address: _________________________________
| Item |
Qty. |
Unit Price |
Total |
| MW Bus T-Shirt's |
|
|
|
| Small |
|
$15.00 |
$ |
| Medium |
|
$15.00 |
$ |
| Large |
|
$15.00 |
$ |
| X-Large |
|
$15.00 |
$ |
| 2X-Large |
|
$15.00 |
$ |
| 3X-Large |
|
$18.00 |
$ |
| 4X-Large |
|
$18.00 |
$ |
| Martha White Apron |
|
$15.00 |
$ |
S&H
1-2 items per address |
|
$5.00 |
$ |
S&H
3-4 items per address
All items sent priority mail |
|
$10.00 |
|
| Make
check or money order payable to Don Clark
Total |
$ |
Thank You for Your Order
"We Look Forward To Seeing You" |