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Merchandise Order Form |
To pay by check or money order, please print this form and send it with your
payment.
Please PRINT CLEARLY in block letters.
Name ______________________________________________________
Address ______________________________________________________
______________________________________________________
City ______________________________________________________
State/Province ______________________________________________________
Postal Code ______________________________________________________
Country ______________________________________________________
Phone (day) ________________________ (eve)________________________
E-mail address ______________________________________________________
Black T-Shirt XXL______ Qty______ x $20 Amount $________
XL______ Qty______ x $20 Amount $________
L______ Qty______ x $20 Amount $________
Youth Small______ Qty______ x $20 Amount $________
Black Tank Top M(chest size 34)______ Qty______ x $20 Amount $________
L(chest size 36)______ Qty______ x $20 Amount $________
SUBTOTAL $________
Add Provincial Sales Tax (8%, Ontario residents only)
($1.60 tax for $20, etc...) PST $________
Add Goods and Services Tax (7%, Canadian residents only)
($1.40 tax for $20, etc...) GST $________
Add Shipping ($6.95, add $2.00 per each additional item)
International orders please add:
USA & Mexico $7.00
All other countries $12.00 SHIPPING $________
TOTAL $________ Questions/Comments? Email us at piledriver@sympatico.ca
Please make checks / money orders payable to "Denise Chapital" and mail
to:
Denise Chapital, c/o DogBite Records
806-785 Browns Line
Toronto, ON, M8W 3V8