Instructions:
- Print this form
- Calculate your total + shipping costs
- Send your payment along with a copy of this form to the address below

- All orders are sent upon arrival of payment
Shipping Costs
$ 0.00 - 9.99 = $3.00
10.00 - 29.99 = $4.00
30.00 - 54.99 = $6.00
55.00 - 74.99 = $8.00
$75.00 and up = FREE
Item Color Size Quanity Price
         
         
         
         
         
         
Shipping :

+
Total :

=

Ship To: (Please Print Carefully)

Name:_______________________________________________________________________________

Address:______________________________________________________________________________

City:__________________________________________

State:_________________ Zip: _____________________

Phone: (_________)_______________________________

Email:____________________________________________

Payment Method:
Cash ____ Money Order ____ Check ____

Please make all check and money order payments out to: Rick Whitehead (owner)

If the product you order is currently out of stock, we will contact you as soon as possible.
You can either wait until the item is back in stock again, or we will refund you your money.

Any questions, contact us at: IB4130@myspace.com

Send your payment and form to:

INNOCENT BYSTANDER
3144 Cedarville Rd.
Millville, NJ 08332