Thomas M. Baxa                tbaxa@baxaart.com

   4544 Colbath Ave. #6, Sherman Oaks, CA  91423

   www.BaxaArt.com    www.VeryScaryFairies.com

Order Form

 

 

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T-SHIRTS

 

Quantity

 

Design

Cost per Shirt

S

M

L

XL

2X

Total Amount

IVy, the Ill  (black)

 

 

 

 

 

 

 

IVy, the Ill  (scrub)

 

 

 

 

 

 

 

Skullfly

 

 

 

 

 

 

 

Disintegrated

 

 

 

 

 

 

 

Smiley

 

 

 

 

 

 

 

OTHER ITEMS

 

 

 

Item Description

Cost per item

Quantity

Total Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payment type (circle one):  Check  or  Money Order

 

 

Merch. Total:

 

Shipping Chart (USA)

Discount:

 

Total Cost

Fee

Total Cost

Fee

8.25% CA sales tax:

 

$0-$14.99

$0

$100-$399.99

$15

Shipping (see chart):

 

$15-$49.99

$5

$400-$899.99

$25

SubTotal:

 

$50-$99.99

$9

$900-up

$35

minus Deposit:

 

International shipping will be more-email me first

TOTAL Amount Due: