Quantity            Guitar Sticker    Subtotals

 

 

________           X  $4.00 each = $___________

 

Quantity            Mandolin Sticker

 

 

________           X  $4.00 each = $___________

 

 

Quantity            Banjo Sticker

 

 

________           X  $4.00 each = $___________

 

Quantity            Fiddle Sticker

 

 

________           X  $4.00 each = $___________

 

 

 

 

 

 

 

Quantity            Hats                     Subtotals

 

 

________           X  $15.00 each = $___________

 

 

 

 

Quantity         Grey T-Shirt

    Circle Size: S, M, na, XXL, XXXL

 

________           X  $18.00 each = $___________

 

 

Quantity          Green T-Shirt

    Circle Size: S, M, XL, XXL, XXXL

 

________           X  $18.00 each = $___________

 

 

Quantity            Blue T-Shirt 

     Circle Size: S, M, XL, XXL, XXXL

 

________           X  $18.00 each = $___________

 

 

Quantity            NIBA Sticker

    

 

________           X  $1.00 each  = $___________

 

 

NIBA Merchandise Order Form

 

Print this page, complete the form and send to:

NIBA, PO Box 495 , Ottawa, IL 61350

 

 

   Name

 

 

   Address

 

 

  City

 

 

  State                        Zipcode

 

 

  Phone

 

 

   Email

                         

Grand Total Enclosed = $_______________

  

Shipping Charge         = $ 2.00 (If ordering Shirt or Hat)

Note:

         Be sure to circle the desired shirt size!

 

         na indicates that size is not available because it is out of stock

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