TriPod
Merchandise Order Form

Customer Name


                                                                                                                                                          

Shipping Address


                                                                                                                                                          


                                                                                                                                                          


                                                                                                                                                          

Customer E-mail
(For Confirmation)

                                                                                                                                                          

 

Item
Price - US $
(Inc. S & H)
# Bought
Total Cost
US $

TriPod CD

$15
_______
$_________
TriPod T-Shirt L
$15
_______
$_________
TriPod T-Shirt XL
$15
_______
$_________

Total

$_________

Link for Currency Converter: http://finance.yahoo.com/currency?u

MAIL Check or Money Order payable to:

TriPod
c/o Clint Bahr
PO Box 230582
New York, NY 10023-0582
USA