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Please ship my order to:

Name________________________________________

Address___________________________________

City______________________________________

State/Zip___________________________________

Email Address_______________________________
Make money order payable to
and send completed form to:

Jag Panzer
P.O. Box 461280
Los Angeles, CA 90046

Item
Size
Quantity
Price Each
Total
         
         
         
         
         
         
Questions about your merchandise or order? merch@jagpanzer.com
Merchandise Total  
Shipping/Handling (Below)  
Subtotal  
State Sales Tax (CA ONLY))  
Total  

Shipping Info
T - Shirts
$6.00
(U.S Dollars)
Pendants
$3.00
(U.S Dollars)
CD & Poster
$3.00
($ 2.00 for each additional)