www.zeerok.com		 Merchandise Order Form
Instructions - Print this order form using the Print feature of your browser. Complete the form and mail along with your check/money order to the address listed below.
 
Customer Information
Name   Address  
City   State        Zip  
The following information is optional. However, it will help us contact you in case there is a problem with your order.
Phone   E-Mail  
 
Item Description Size Color Qty   Price Total
  X
  X
  X
  X
  X
  X
  X
 
Subtotal -
Shipping & Handling (see chart) -
Donation -
Your generous donation will be used for band related expenses such as promotion, travel, equipment maintenance, etc. This is completely optional. As always, we thank you for your continued support.
Grand Total -
Order Total up to $17.00 $17.01 - $34.00 $34.01 - $51.00 $51.01 - $75.00 over $75.00
Shipping Charge $2.95 $4.95 $5.95 $6.95 $7.95

Please make check/money order payable in U.S. funds to Zhenya Rock.
Items shipped via U.S. Postal Service. Please allow up to 2 weeks for delivery.
Mail this completed order form along with your check/money order to:
ZEEROK
PO Box 393
101 Anthony St
Hutto, TX 78634
Thank you for supporting ZEEROK!