The Scrubs Band
Order Form

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QTY
ITEM DESCRIPTION
PRICE
TOTAL
 
SOUNDS FAMILIAR CD
$12.00
 

SHIPPING & HANDLING

$2.00 PER ITEM
----
TOTAL ITEMS ----

Name _______________________________________

Address ______________________________________

City ____________________State________Zip_______

Phone___________________________

JUST PRINT OUT OR COPY THIS FORM
MAKE CHECK OR MONEY ORDER PAYABLE TO:
THE SCRUBS BAND
Mail to:
Rusty Straw
14626 NE 184th PL
Woodinville WA 98072


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THANK YOU FOR YOUR SUPPORT AND WE WILL SEE YOU THERE!!

HTTP://THESCRUBSBAND.COM

To contact The Scrubs email: Rusty Straw