PRINT THIS FORM

MAIL ORDER AND PAYMENT TO:
THE KANSAS CITY STREETBAND FAN CLUB 2101 W. BROADWAY, SUITE 177 
COLUMBIA, MO.  65205-6018

SHIPPING AND HANDLING
$1.00-$40.00 ADD $4.50
$40.00 & UP  ADD $7.50

NAME                                                                                 
ADDRESS                                                                           
CITY                                          STATE               ZIP              
PHONE                                                                                
ITEM DESCRIPTION PRICE SIZE
Please Circle
QTY AMOUNT
#BD3211 Sounds From The Street CD $15.00      
  Mean While Back At The Ranch CD $15.00      
#T32147 Logo Tee Color Black with white Logo 100% cotton $15.00 L, XL, XXL    
#S42557 Hooded Sweatshirt Color Black with white Logo 100% cotton $20.00 L, XL, XXL    
#J61785 TOUR JACKET Satin Shell with Flannel lining, Logo on back $40.00 L, XL, XXL    
#TT3214 TOUR TEE (CD COVER) Black with white design, 100% cotton $15.00  XL    
#P21783 POSTER OF BUMMER 18X24 $4.00      
#BS6060 BUMPER STICKER KANSAS CITY STREETBAND $3.00      
#KBF606 BAND PHOTO 8X10 GLOSSY $5.00      
#BDF810 PHOTO OF BUMMER PORTRAIT 8X10 GLOSSY $5.00      
#BDF811 PHOTO OF BUMMER FROM THE CD COVER 8X10 GLOSSY $5.00      
#BD3210 CASSETTE TAPE SOUNDS FROM THE STREET $10.00      
  SUBTOTAL $
SHIPPING AND HANDLING  
$1.00-$40.00 ADD $4.50   -  
$40.00 & UP  ADD $7.50
SHIPPING $
  GRAND TOTAL $
PLEASE ALLOW 4-6 WEEKS FOR DELIVERY.  PLEASE SUPPLY ALL INFORMATION REQUESTED ON THE ORDER FORM, INCLUDING DAYTIME PHONE # AND PLEASE PRINT LEGIBLY.
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