~ The Juju Kings ~

Printable Order Form

Please make your check or money order payable to and mail this form to:

The Juju Kings
P.O.Box 122
Streator, Ill.
61364

Item Description - Color / Size

Quantity

Size

 Price Each Extended Total
MoJo Palace CD         $18.00        

JuJu Kings T-Shirt
Youth Medium, Small, Medium, Large, XL

         $ 25.00        

JuJu Kings T-Shirt
XXL

   $ 27.00  

GRAND TOTAL ~
(ALL shipping charges are included in the price) 		                         



SHIP TO ADDRESS:
Name ___________________________________________
           (First, Last, M.I.)
          ___________________________________________
           ( Street or P.O. Box )
           ___________________________________________
           ( City, State, Zip )
            ___________________________________________
           ( Daytime Telephone Number )
            ___________________________________________
           ( E-Mail Address )

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Please allow 3-4 weeks for delivery. We will only call or e-mail you if we have a question or if there is a problem with your order.
Thanks!