August 2002 - The server for these pages has changed and at this time the order form does not work electronically. This page can be printed and mailed or faxed in with your order. All items are still available except for the t-shirts and sweatshirts (Jeff may still have a few of those at his house in Montana.

Indian Jeff merchandise order form
To order by fax:
You may leave a phone message at
(360) 491-7343 (24 hours) 		To order by mail:
 1. Fill out form
 2. Print page
 3. Fax to: (360) 491-1333		  1. Fill out form
 2. Print page
 3. Mail to:

 Indian Jeff Benefit
 P. 0. Box 3393
 Lacey, WA. 98509-3393
To order by e-mail:
 1. Fill out form
 2. Press Submit Form

Click to see photo of  T-shirt,  Benefit Poster, or  Decal .  (shirts are 90% cotton / 10% polyester)

DescriptionQty.Price EachAmount
$ 15.00
$ 35.00
$   6.50
$   1.50
$ 70.00
If you would like to make a donation to the Indian Jeff Benefit fund, enter amount:
Postage costs
(4th class) $ 2.50 any size order
(1st class) $ 4.00 any size order
(Canada & overseas request quote)
(If ordering decals only, postage is $1.00)
Quantities are limited on some items
Postage
Sub Total
Total

Name: First Last
Address:Street
City State/Prov. Zip
E-mail: Country:

Credit Card Info: Card TypeExp.
Signature

__________________________________
Card #
Cardholder

Type special instructions or comments here:

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