Blue Mountains Community Radio 89.1 FM

BLU FM 89.1 Merchandise Order Form
Item Details (please circle choice of colour/ size)			Price	# Required	Amount Due
Polar Fleecy Cap	Blue Green Red Grey Black		$16		$
T-Shirt #2	Sml Med Lrge		$19		$
T-Shirt #1	Med Lrge XL XXL		$17		$
Skankin CD	17 tracks of Aussie Punk 'n' Ska		$12		$
TOTAL DUE:					$
Name:
Postal Address:
Town:			Postcode:
Phone:		Email:
Print this form, Fill it in, and Post it with cheque/ money order to: BLU FM, PO Box 64, Katoomba, NSW, 2780 # All prices are in Australian Dollars, Include GST and Postage within Australia. # Cheques/ Money Orders Payable to 'BMPBS' Thankyou for supporting Blue Mountains Community Radio