Order Form
Please print out this order form on your printer, then fill it in. NOTE: Sorry, we do NOT accept credit cards, -you'll need to send a check with your order.

(T-Shirts: $17.95 each, Bumper Stickers: $2.00 each)
-Qty- ....Item#.... ..........ItemDescription.......... Size(shirt) Color(shirt) PriceEach Totals for Items....
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . Sub-Total $
. . *ADD SHIPPING (see below) . . *Shipping +$
. . . . . TOTAL Enclosed $

*Shipping:
Orders of BumperStickers ONLY: $1.00// ANY size Order containing any T-shirts: $5.00 total shipping charge
Ship Merchandise To:
Name________________________________
StreetAddress___________________________________
City_________________________
State & Zip_______________________________
Phone or Email___________________________________


Please print out this order form on your printer,
fill it in and send it, along with your check or postal money order, to:
Harmonia's Big B.
67 Austerlitz St., Chatham, NY 12037

Please print your name and address CLEARLY, and include your phone or Email address so we can contact you in case of questions about your order. USA orders only please. We will ship your order within 48 hours.
E-mail us your Questions to: harmonia@taconic.net
or Phone us at: (518)392-2743


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