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First Name:

Last Name:  Middle Initial

E-mail Address:

Credit Card Number:

Credit Card Type:   Expiration Date:/


Please specify how many shirts and the style and size you would like:

 
Ghetto Bootleg T
(Available in Women's and Men's sizes, also in Women's Tank)
Father Knows Best T
(Available in Women's and Men's sizes, white and cream colored)
Frozen Eucharist T
(Available in Women's and Men's sizes)
Fascist Melon T
(Available in Women's and Men's sizes)
The Couch Hooded Sweatshirt
(Only Available in grey, only in L, XL and XXL)
x $15
x $15
x $15
x $20
x $40
+ + + +

Total From Above:



Frozen Eucharist: x $6.50 =

Edible Shampoo: x $3.99 =


There is no shipping and handling on orders over $50.  If an order is under $50 you will be notified by e-mail of specific shipping and handling charges.
+ + =

You must have an e-mail connected to your browser for this for to work.  It is secure. Don't worry about your credit card being used in anyway other than the authorized transaction.  Your e-mail will only be used to send a confirmation e-mail, to collect the receiving address  and to solve any problems.  We do no send unsolicited e-mail.

Thank you for shopping at The Couch!

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