| The Farewell Letter Merchandise Order Form Please print this form out and fill out in pen. |
| Name:____________________________________________ Address:__________________________________________ City____________ State____ Zip_______________ Email:______________________________________ |
| ORDER ITEMS: Item #___________Description__________________Size___________Qty___________ Price $_________ Item#___________Description___________________Size__________Qty____________ Price $_________ Item #__________Description___________________Size__________Qty_____________Price $_________ ----------------------------------------------------------------------------------------------------Subtotal $_________ -------------------------------------------------------------------------------------------------+ Shipping $ ________ ---------------------------------------------------------------------------------GRAND TOTAL $ ______________ |
| Shipping Costs: U.S. residents please include $2 dollars for the first item, $.50 cents for each additional item. Canada/Mexico residents, please include $3 dollars for the first item, $1 dollar for each additional item. International (outside of North America) please include $4 dollars for first item, $1 dollar for each additional item. Allow a maximum of 4 - 6 weeks for delivery. If ordering a t-shirt please specify S/M/L/XL. |
| Please mail this form with cash (well hidden), money order, or check payable to "Josh Funk" to: The Farewell Letter Attn: Jenny Sies 554 White Ave. Chico, CA 95926 Please no personal check outside the United States. International Money orders are an acceptable alternative. |