ORDER FORM
Please print this page, fill it out, and send it with payment to the address below.
FREE STICKERS & GOODIES WITH EVERY ORDER!
| PRODUCT | SIZE
(circle one) | QUANTITY | PRICE | TOTAL EACH |
| "Be My Ex-Girlfriend" CD | | | $6.00 | |
| "Music to Strip By" CD | | | $5.00 | |
| Evil Jake T-shirt (black) | S / M / L / XL | | $7.00 | |
Baby Doll T-shirt
w/ Evil Jake logo | one size
(it stretches) | | $9.00 | |
Baby Doll T-shirt
w/ album cover girl graphics | one size
(it stretches) | | $9.00 | |
| Baseball T-shirt | M / L / XL | | $12.00 | |
| Hooded Sweatshirt | M / L / XL | | $20.00 | |
| | Shipping | $2.00 |
| | Total | |
SHIPPING INFORMATION
NAME: _______________________________________
ADDRESS: ____________________________________
_____________________________________________
CITY:_________________________________________
STATE: ________________ ZIP CODE: ___________
PLEASE MAKE ALL CHECKS/MONEY-ORDERS
PAYABLE TO "MIKE JACOBS"
MAIL YOUR PAYMENT AND THIS FORM TO:
Mike Jacobs / Evil Jake Stuff
954 Third Ave. #701
New York, NY 10022
