Mail Order Form:
Item

Price
 (Canadian Funds)

Quantity

  
CD: "Do What You Should" - Graham Brown $15.00    
CD: "Stand Your Ground" - Graham Brown $15.00    
CD: "Good 'n Broke" - Graham Brown $15.00    
CD: "Brand New Smile" - Graham Brown $15.00    
CD: "Just Like You" - Graham Brown with Happyman $15.00    
CD: "Sunburst" - Graham Brown with Happyman $15.00    
CD: "Born To Entertain" - Graham Brown with Happyman $15.00    
 

Total

  
Item

Price
 (Canadian Funds)

Quantity / Size:
(M, L or XL)

  
T-Shirt: (L & XL only)
Graham Brown Sketch -  White Cotton		 $15.00    
T-Shirt:
"Good 'n Broke" -  White Cotton		 $15.00    
T-Shirt:
"Good 'n Broke" - Black Cotton		 $15.00    
 

Total

  
Postage & Packaging

Price
 (Canadian Funds)

 

  
Canada or USA Orders - no extra charge -    
International Orders $3.00    
 

Total

  
Name and Mailing Address where goods should be sent:
 

 

Instructions for Ordering:

  1. Print out a copy of this form
  2. Complete order details
  3. Include a Money Order in Canadian Funds  made payable to:
    "Poke In The Eye Publishing"
  4. Send completed Order Form together with Money Order to:

Stomp Records / Poke In The Eye Publishing
Suite 210 - 1027 Davie St.
Vancouver, B.C.
Canada     V6E 4L2                                                                             Thank You!