Route 3 Merchandise Printable Order Form

Item Unit Price Quantity Total $
The Folks $6.00    
Renaissance Recital $10.98    
Slightly Certain $11.98    
Elevation - Live $10.00    
Linger In Bloom $15.00    
Bumper Sticker $2.00    
T-Shirts Coming Soon...    
Subtotal: $________
Shipping/Handling: $________
Total: $________
Include shipping costs of $3.00 for the first item and $.75 for each additional item. Make Checks Payable to:
Jared Adams
Orders will not be shipped until all checks/money orders have cleared!

Please fill in your shipping information:

Name:___________________________________

Address:_________________________________

City:____________________ State:__________

Zip Code:________________

Phone:(______)___________ Email:_______________________________
Print the form, fill in your order, and then fax or mail it to us.
Mail: Havilah Management PO Box 113 Zeeland MI 49464 Fax: 616.931.3905

     

 

 

 

 

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