Scrod To Go! Order Form

Scrod ToGo! Order Form

Scrod To Go!

NAME:_________________________________________ ADDRESS:__________________________________________________________ CITY:______________________ STATE OR PROVINCE:_____________ ZIP:_________
PHONE: ( )__________________ EMAIL:_________________________

RECORDINGS:

Food for Your Feet by Scrod Pudding

____ CDs @ $15/ea
____ Casstettes @ $10/ea....................Subtotal: $________

Hear the Whippoorwill Sing by Pam Weeks
____ Casstettes @ $10/ea..............................Subtotal: $________

Waiting for the Perseids by Pam Weeks

____ CDs @ $15/ea
____ Casstettes @ $10/ea....................Subtotal: $________

Apparel

T-Shirts @ $12/each

Unisex Size (circle): S . M . L . XL . XXL

If more than one shirt, note other size and quantities here:_________________...........................................Subtotal: $________

Tote Bags ______how many? @ $12/each....................Subtotal: $________

Subtotal: $_____________
Shipping: $_____________ ($1.50/item; $5.00 maximum for any order, thanks!)
Total: $________________
Please make check or money order payable to: Scrod Pudding

Mail to: Pam Weeks RR1 Box 894 Upper Street Turner, ME 04282
Thank you !!!