PO Box 21516
Washington
DC 20009
Email: adgore@aol.com
For All Orders:
By Signing Below, I certify that I am over 18 years of age.

Signature:
Name (Please Print):  
Birthdate:
  


Phone: ( )

   Breast Size: (If Appl):  


Street Address:

  Email Address:  

City, State, Zip, Country:

  

Method of Payment (circle one):    Personal Check             Money Order

International Orders: Email Us for Shipping rates at: adgore@aol.com
Qty Size Item Name & Description (Print & Describe Clearly!!) Price Each Total
         
         
         
         
         
         
         
         
         

Make all checks and money orders payable to: Underground Screen Prints. Allow Approx 10-14 days for delivery.

All items except Demented Dollz & Killin’ Time Klocks, Stickers and Patches are $4.50 for the 1st and $1 / Additional Item. Demented Dollz are $6 for the 1st, and $2/Additional. Stickers, Patches and Pins are a $4.50 Flat Rate – So Buy a TON of em’! All orders are shipped Priority Mail.

If you have more choices than form offers, print form 2X
(It ain’t rocket Science!)

SUBTOTAL:
    
D.C. Residents Only, Add 5.75% Sales Tax
   
SHIPPING
    
TOTAL
    
If an Item is out of stock over 4 weeks, I would like: (Circle one)         Refund Check       Alternate Item            Wait Patiently

Any ?’s about Your Order? Email us at: adgore@aol.com -- http://www.satansideshow.com