GumboLimbo Productions
1120 Lakeview Drive
Creal Springs, Illinois 62922
ORDER FORM
(Print This Page For Ordering By Regular Mail)
Note Special Promotion...
We are currently providing 2 Belizean Two Dollar Bills with each item
ordered.
CD, "What We Belize In"... ___ Ea..........................@ $12.95 =
_______
CD, "Tequila Tonight, Tomorrow We Ride"... __ Ea.@ 12.95 =_______
CD, "Playing For Belikins" ........................... __ Ea.@12.95 = _______
CD, "Rock The Phlock".........___ Ea........................ @ 14.95 = _______
T-SHIRT, "Belize In", Size:_________ ____Ea.......@
$12.95 =_______
Shipping & Handling ..........................................@ $ 2.95
= _______
Total From Above ...............................................................= ________
Enclosed Is Check, Or Money Order, In The Amount Of.......... $ __________
(Please Make Payment To: GumboLimbo Productions)
Please Send My Ordered Item(s) Promptly To:
Name: __________________________________________________
Address: ________________________________________________
City/State/Zip (Or Country) ___________________________________
Note: Our T-Shirts Are 100% Cotton Available In Size:
Medium, Large And X-Large
