Koko Taylor Merchandise ORDER FORM

Print, complete, and mail with payment to the address below.

ITEM CIRCLE SIZE
& COLOR		 PRICE QUANTITY SUBTOTAL
Old School - CD  

$20

    
Deluxe Edition - CD

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$20

    
Royal Blue - CD

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 $20    
Screened Signature Tee Small
Medium
Large
XLarge		 Black $24    
Screened Signature Tee Plus Size XXLarge
XXXLarge		 Black $27    
Queen of the Blues Tee Small
Medium
Large
XLarge		 Purple $24    
Queen of the Blues Tee Plus Size XXLarge
XXXLarge		 Purple $27    
Women's Sleeveless Tee Small
Medium
Large
XLarge		 Gray $24    
Signature Cap

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 Red $16

 

  
Floppy Brim Cap

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 Tan $16    

Subtotal:

  

__% Sales Tax (IL orders only)

  

TOTAL:

  

Prices Include Shipping and Handling

Purchaser Info:

Name:  
Address:  
City, State, Zip:  
Country:  
Phone:  
Email:  

Ship to: (if different than purchaser)

Name:  
Address:  
City, State, Zip:  
Country:  
Phone:  
Email:  

REMIT CASHIER'S CHECK OR MONEY ORDER IN US DOLLARS PAYABLE TO:

KOKO TAYLOR

Mail to:
 
Koko Taylor
P.O. Box 2545
Country Club Hills, IL  60478