Mus-tard Merchandise
Personal Check and Money Order Form.
P r i n t . t h i s . f o r m . o n . y o u r . b r o w s e r. <
Description XL XXL Qty. Prc. Ea. Prc. Total
CD - Ugly Mus-tard © 1997      
$14.00
  
CD - Ugly Mus-tard © 1995      
$14.00
  
Solipsism VHS ©2000      
$17.00
  
Solipsisms CD ©2000      
$14.00
  
Mus-tard Shirt      
$15.00
  
Please add $2.95 for shipping & handling
$2.95
Total:
   

Your Name:__________________________________________________


Address:____________________________________________________


City:_________________________State:___________ZIP:_________


E-mail:_____________________@_______________________________

To order:
1) Print this form from your web broswer.
2) Fill out the form.
3) Make check or money order payable to: Ugly Mus-tard
4) Mail the form and your payment to:

Ugly Mus-tard
P.O. Box 141227
Dallas, TX 75214-1227

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