the P.U.R.E. band Store - Merchandise Order Form
ITEM
DESCRIPTION
PRICE
QUANTITY
SUBTOTAL


Click For Close-up
Shirt - Size: Small $ 10.00 0 1 2 3 4 5 6 $
Shirt - Size: Medium $ 10.00 0 1 2 3 4 5 6 $
Shirt - Size: Large $ 10.00 0 1 2 3 4 5 6 $
Shirt - Size: X Large $ 10.00 0 1 2 3 4 5 6 $
Shirt - Size: XX Large $ 10.00 0 1 2 3 4 5 6 $

Click For Close-up
CD - P.U.R.E. Live

Audio sampler available
on Close-up page.
$ 30.00 0 1 2 3 4

5 6 7 8 9
$

Click For Close-up
Cap $ 19.00 0 1 2 3 4

5 6 7 8 9
$

Click For Close-up
Button (1 1/2") $ 2.00 0 1 2 3 4

5 6 7 8 9
$

Click For Close-up
Magnet (3") $ 2.00 0 1 2 3 4

5 6 7 8 9
$
Total $
Prices Include Tax And Shipping.
Shipping Information
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Email: (you will be emailed a tracking #)

To order :
1. Complete the form, then click the PRINT button.
2. Mail the form with your check or money order payable to :
Jim Sowder
624 Third Street
Herndon, VA. 20170
3. Click the SEND button. This will email us your order so that we can screen out any problems.