Order Form

Please Print this form out and send with check and order to the address below.

Item Price X Quan. = Cost
NEW: Long Road Home - CD [FREE SHIPPING] $15.00 X   =  
Through The Window - CD $15.00 X   =  
Through The Window - LP (yes, audiofiles have asked for this) $10.00 X   =  
A Child of God - CD $15.00 X   =  
A Child of God - Cassette Tape $10.00 X   =  
T-Shirt Size: Small Color: Red $15.00 X   =  
T-Shirt Size: Medium Color: Red $15.00 X   =  
T-Shirt Size: Large Color: Red $15.00 X   =  
T-Shirt Size: X-Large Color: Red $15.00 X   =  
T-Shirt Size: Small Color: Lt. Green $15.00 X   =  
T-Shirt Size: Medium Color: Lt. Green $15.00 X   =  
T-Shirt Size: Large Color: Lt. Green $15.00 X   =  
T-Shirt Size: X-Large Color: Lt. Green $15.00 X   =  
T-Shirt Size: Small Color: Gray $15.00 X   =  
T-Shirt Size: Medium Color: Gray $15.00 X   =  
T-Shirt Size: Large Color: Gray $15.00 X   =  
T-Shirt Size: X-Large Color: Gray $15.00 X   =  
Shipping $3.20     =  
Total -----   -----    

Make Check Payable to:
Patent Pending
2086 Sulphur Springs Road
Inwood, WV 25428