2008 Hot Steamed Jazz Festival

Order Form

Print it out, fill it out, and send it in!
_____________________________________________

* Buy any 2 and pay only $25.00!


 
Quantity
Size
(adult -
S, M, L, XL)

Price
Subtotal
Quantity X
Price
 
2006 HSJF Hat
___/
___/
$15.00
_______/
 
2007 Red T-Shirt
___/
___/
$15.00
_______/
 
2007 Ivory T-Shirt
___/
___/
$15.00
_______/
 
The Hot Steamed Jazz Festival Music CD- The Essex Dogs
___/
$15.00
_______/
 
Automatic shipping & handling charge:
$3.00
 
           
Grandtotal      
_______/
 
           
           

METHOD of PAYMENT:

____MASTERCARD ____VISA ____AMERICAN EXPRESS - - EXPIRATION DATE: MONTH____ YEAR____

ACCOUNT NUMBER - INCLUDE ALL DIGITS:

___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

Print EXACT Name Appearing on Credit Card:

__________________________________________________________________________

Signature:__________________________________________________________________

Phone:_____________________________________________________________________


PLEASE MAIL THESE ITEMS TO:

Name: _____________________________________________________________________________

Address: _____________________________________________________________________________

City: _______________________________________ State:_________________ Zip: ____________
Send your completed Order Form to:
The Hot Steamed Jazz Festival
P.O. Box 293
Essex, CT 06426-0293

If you would like a confirmation via email, please include your email address:________________

 



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Last Revised: 02-May-08
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Hot Steamed Jazz Festival
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