This form may be used topurchase items from www.swans.pair.com and thelivingjarboe.com. If you don't have a printer, Please read the INSTRUCTIONS before typing or LEGIBLY copying ALL information and mailing it to us . We CANNOT fill an order unless all the information is supplied to us on a SEPARATE sheet, even if your information is on your Check / Money order etc. Print and use this form directly.

CREDIT CARD ORDERS
NAME and ADDRESS MUST correspond with BILLING NAME and BILLING ADDRESS.
ALL ORDERS MUST BE MAILED TO
THE LIVING JARBOE, P.O.BOX 420232, Atlanta, GA 30342


NAME__________________________________________________DATE____________
ADDRESS________________________________________________________________
________________________________________EMAIL____________________________

ITEM
FORMAT *
QUANTITY
PRICE
LINE TOTAL
         
         
         
         
         
         
         
         
         

* FORMAT CD, Cassette,vinyl, writing, collectible ?
T-SHIRT Specify size and 3 choices in order of preference in case we're out of stock.

SUBTOTAL
 
AGE
 
Under 18
 
Over 18
 
Over 21  
PAYMENT
 
CASH
 
Money Order
 
Check
 
Credit card
TOTAL POSTAGE
 
TOTAL
 
CREDIT CARD ORDERS
TYPE
VISA
 
MASTERCARD
 
AMEX
 
EXPIRATION




       
CARD NUMBER