Midnight Riders LogoMidnight Riders Product Order Form

    PO Box 4291
    Troy, MI  48099
    Phone (248) 879-5715 ~ Fax (248) 879-5716
 

To place an order please complete the form (use the tab key to jump between fields), mail payment and printed form to above address.  Thank you!

Full Name
Address
City, State, Zip
Daytime phone
Evening phone
e-mail

Products to Order:
Qty: Cost: ($15.00 ea) Lexington Green CD

Qty: Cost: ($10.00 ea) Lexington Green Cassette

Qty: Cost: ($15.00 ea) The Stroke of Midnight CD

Qty: Cost: ($5.00 ea) Coffee Mug w/corps logo

Qty: Cost: ($5.00 ea) Water Bottle w/corps logo

Qty: Cost: ($25.00 ea) Green Henley

Subtotal:  Shipping (10%):  Total:
Method of Payment: