
T-Shirts & Gifts for Drummers!
3821 Gaskins Rd. / Richmond, VA
23233
www.drumbum.com / 1 800 Drum Bum
|
ORDER FORM Print
this order form by selecting File and then Print.
Simply enclose payment and mail to the above address. |
| HOME
ADDRESS: Name: __________________________ Address: ________________________ City: ___________________________ State/ZIP: _______________________ E-mail:__________________________ Phone: ____________________ (important) |
SHIPPING
ADDRESS: (If different) Name: __________________________ Address: ________________________ City: ___________________________ State/ZIP: _______________________ E-mail:__________________________ Phone: ____________________(important) |
| Item Num. | Qty. | Size |
Item Description | Price | Total | ||||||||||||||||
|
Shipping Information
|
SubTotal | ||||||||||||||||||||
| Sales Tax* | |||||||||||||||||||||
| Shipping & Handling | |||||||||||||||||||||
| Total | |||||||||||||||||||||
* Virginia Residents please add 5.0% Sales Tax
| Method of Payment (U.S. Funds Only) |
|
Credit Card Order Information |
| Card Type: |
|
| Account Number (Please include all numbers): |
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
| Expiration Date: |
____ / ____ / ____ |
Authorized Signature (required for credit card validation): |
| |
|
SHIPPING AND ADDITIONAL INFORMATION
|
|
|