Please
print this form, complete it, and mail it along with your money order (payable
to Octavia Harris) to:
| Music 4 The Soul Ministries |
| c/o Octavia Harris |
| 4940 SW Laurelwood Ave. |
| Portland, Oregon 97225 |
If paying by money order, your merchandise will ship within 1 to 2 days
of receipt of your money order (pending product availability)
(NO PERSONAL CHECKS, PLEASE).
Your Shipping
Information:
Name:
____________________________________________ |
Address Line
1 (No PO Boxes):
____________________________________________ |
Address Line
2:
____________________________________________
|
City / State
/ Zip:
____________________________________________ |
Email Address*:
____________________________________________ |
List of Items:
| Beats by Octavia (Exclusive) |
$150.00 |
| Beats by Octavia
(Exclusive/Tracked out) |
$200.00 |
| Beats by Octavia (Non-Exclusive) |
$25.00 |
| Beats by Octavia (CD in
the mail) |
$5.00 (includes s&h) |
| Radical Sabbatical
CD |
$12.00 + $1.64
s&h |
| Radical Sabbatical T-shirt
(S,M,L,XL) |
$15.00 + $2.99 s&h |
| Bring it On Music Video
on DVD |
$5.00 + $1.64 s&h |
| Autographed Poster w/special
message! |
$5.00 + $2.50 s&h |
| 4 The Children CD |
$9.99 + $1.64 s&h |
| 4 The Children
T-shirt (S,M,L,XL) |
$15.00 + $2.99 s&h |
| Inspired by God CD |
$9.99 + $1.64 s&h |
| Inspired by God Poster |
$3.99 + $2.50 s&h |
| Speak it N2Existence T-shirt
(Black) |
$15.00 + $2.99 s&h |
| Speak it N2Existence T-shirt
(White) |
$15.00 + $2.99 s&h |
| Speak it N2Existence WristBand
(red/blk) |
$5.00 + $1.50 s&h |
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| Item
Name: |
Qty:
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T-shirt
Size |
Price |
Total:
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Merchandise Total: _________
Shipping Total**: _________
Grand Total (Merchandise + Shipping): _________
*Your email address will be used to send
an email confirmation of your order.
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