Quantity Guitar Sticker Subtotals
________ X $4.00 each = $___________
Quantity Mandolin Sticker
________ X $4.00 each = $___________
Quantity Banjo Sticker
________ X $4.00 each = $___________
Quantity Fiddle Sticker
________ X $4.00 each = $___________
Quantity Hats Subtotals
________ X $15.00 each = $___________
Quantity Grey T-Shirt Circle Size: S, M, na, XXL, XXXL
________ X $18.00 each = $___________
Quantity Green T-Shirt Circle Size: S, M, XL, XXL, XXXL
________ X $18.00 each = $___________
Quantity Blue T-Shirt Circle Size: S, M, XL, XXL, XXXL
________ X $18.00 each = $___________
Quantity NIBA Sticker
________ X $1.00 each = $___________
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NIBA Merchandise Order Form |
Print this page, complete the form and send to: NIBA, PO Box 495 , Ottawa, IL 61350 |
Name
Address
City
State Zipcode
Phone
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Grand Total Enclosed = $_______________ |
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Shipping Charge = $ 2.00 (If ordering Shirt or Hat) |
Note: Be sure to circle the desired shirt size!
na indicates that size is not available because it is out of stock |
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