Salt Hobo Records Order Form
Print this page and fill it out!
Please fill out as much as you can! Just incase we have problems reading your hand writing!
Send it to:
Salty Hobo Rex
608 S. 500 E.
Salt Lake City, UT
84102

Contact Info/Shipping Info


Name:__________________________________ Phone:________________________

Address:______________________________________________________________

City:__________________________ State/Providence:______ Zip:_______________

Country(If other than USA):__________________________

Email:________________________________________________________________
Item #
(SHR-010) 		Description / Color / Size
(The Mooks T-Shirt, Red, Medium)

Quantity
(2)

Price
($5)

       
       
       
       
       
       
       
       
Total  
Special Instructions / Comments / Questions / Funny Comics