Your name
Address
City, State, Zip
Phone (in case of questions)

T-SHIRTS ($10 each)
# t-shirts(M)
# t-shirts(L)
# t-shirts(XL)
Subtotal # T-shirts X $8 = Subtotal due $

Tank Tops($10 each)
# tank tops (M)
# tank tops (L )
# tank tops (XL)
Subtotal # Tank tops X $8 = Subtotal due $

GOLF SHIRTS ($15 each)
# golf shirts(M)
# golf shirts(L)
# golf shirts(XL)
Subtotal # Golf shirts X $15 = Subtotal due $

Long Sleeve Shirts ($15 each)
# long sleeve shirts(M)
# long sleeve shirts(L)
# long sleeve shirts(XL)
Subtotal # Long Sleeve shirts X $15 = Subtotal due $

Music CD (10.00) plus 2.50 shipping and handling
Private Eye CD  1 

Diggin On )             

Please add ($5.00) for shipping and handling

TOTAL DUE $

PAYMENT METHOD
COD , Check or Money Order , Pay Pal, No Credit Cards Please
Send to Private Eye Band, 8270 Warbler Way, Liverpool , N.Y.13090

You should receive a confirmation that your information was sent correctly.

Some  browser's might not work with this information form. If that happens Please send the information to freds@zhighway.net 

Thank you, Private Eye Band