Order Form
Print and fill out this form to place your order. Allow two weeks for processing.

Name ___________________________________________

Address __________________________________________

City ______________________ State ______ Zip ________

E-mail ________________________________________

Telephone _______________ Fax _______________

Please send me _____ copy(s) of The Offbeats Salute The 60's @ $12.00 each. Total amount: $__________.

Please send me an Offbeats T-Shirt @ $15.00 each.
Please send _____ size L.
Please send _____ size XL.
Total amount: $__________.

Please send me _____ copy(s) of The Grapes of Wrath on Gear Fab Records @ $15.00 each. Total amount: $__________.

Please send me _____ copy(s) of Psychedelic Crown Jewels, Volume 2 @ $15.00 each. Total amount: $__________.

Please send me _____ copy(s) of Yes, Phoenix Had Music In The Sixties! by Ed Wincentsen @ $15.00 each. Total amount: $__________.

Print and mail with check or money order for total amount to:
John Hesterman
1849 S. Power Road, #1373
Mesa, AZ 85206

Thank you for placing your order!

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