SHOPPING FOR BUDDHA ORDER FORM

Print Order Form and Send it w/Check or Money Order to:
Junk Food Buddha
P.O. Box 1250
Glen Allen, VA 23060-1250

Shipping Info

Name:_______________________________________________________________

Street:_________________________________________________ Apt.__________

City:________________________________ State:___________________________

Zip:_________________________________ Tel:____________________________

CD
$10.00
Quantity________

All shirts X-Large
Black & White-$12
Acid Washed Turquoise & Burgundy-$15
T-Shirts
Color:________________Quantity_______ Price_________
Color:________________Quantity_______ Price_________
Color:________________Quantity_______ Price_________
Color:________________Quantity_______ Price_________
Color:________________Quantity_______ Price_________
Color:________________Quantity_______ Price_________
Total___________