Lollipop Factory Order Form


Name    
Email   
Street   Apt.#
City     
State    
Zip      
Country

Item
Quantity/Size
Price*
CD - "SOON" (now available)
$10.00
7" - Objective Man b/w Dancing Queen
$4.00
"SOON" T-Shirt - Black
Large   sold out
$12.00
"SOON" T-Shirt - White
Large sold out
$12.00

We accept Paypal to tweed@lollipopfactory.com

or

Please fill out this form, print and mail with check or M.O.(sorry, no online ordering)to:
David Tweed
77 w. Blake Ave.
Columbus, Ohio
43202
All prices include shipping.
*Orders outside the U.S. add $4 per item.
Allow 7-10 days for delivery.