CROSSOVERroad - Order Form

Please fill this form out and enclose along with your personal check or money order.

Name ______________________________ Address ____________________________ City ________________________________ State ___________ Zip +4 ______________ Phone _____________________________ Email ______________________________		>>>>> Music CDs CDs are $15 each; S&H is $1.50/CD* Title:________________________ Number of CDs ordered: ________ x $16.50 per CD = $ _________

>>>>> T-Shirts T-Shirts are $12 each; S&H is $2.00 each* Small: ___________ Quantity Medium: ___________ Quantity Large: ___________ Quantity XL: ___________ Quantity 2X: ___________ Quantity 3X: ___________ Quantity Total Number of T-Shirts ordered: ________ x $14.00 per T-Shirt = $________		>>>>> TOTALS Total for CDs: $_____________ Total for T-Shirts: $_____________ Grand Total: $ _____________ Check Number: _____________ Date: _____________ Please make checks payable to: CROSSOVERroad And mail to: PO BOX 4021 Carmel IN 46082.4021

T-Shirts are 100% cotton; S-XL run a little small; 2X & 3X run a little large. (I wash mine on cold, inside-out, and dry on a hanger.)

Please be sure we have an appropriate "ship to" address (if you give us a PO Box, be sure to give us a street address as well), and include your zip (+4, if possible).

*If you wish to place a large order, call us at 317-569-9601 or email us, and we will define the appropriate S&H charges. Forms may be faxed previous of payment to 317-569-9602.