Weasel Land Records Mail Order Form
Instructions:
  1. Print out this form
  2. Fill in the information
  3. Determine the total cost of the items
  4. Add shipping & handling
  5. Calculate total
  6. Mail form and Check or Money Order to Weasel Land Records, PO Box 322, Freeville, NY 13068
Mail to:

Weasel Land Records

PO Box 322

Freeville, NY 13068

Include Check or Money Order

Item T-shirt Size
small, medium, large, or XL		 Quantity Price Each
 Subtotals
Poop Yer Pants debut CD
 N/A
   10.00   
PYP T-shirt - Male Cut     12.00   
PYP T-shirt - Female Cut      15.00  
Total Item Cost
  
Shipping & Handling (Continental U.S.) based on Subtotal:
$00.00 - $20.00 = $3.00
$20.01 - $35.00 = $5.00
$35.01 - $50.00 = $7.00
over $50.00 -- Free		  
Grand Total  
____ Check or Money Order Enclosed

Ship to (leave blank if same as shipping address):

Name

Apt. Number

Street Address

City

State & Zip

Telephone

Email