Product Order Form 

Print out this form. Enter Quantity, Circle Size, Enter Totals.
Or call 304-258-9381 during business hours.

Name:__________________________ Phone: __________________

Address:_________________________________________________

Email:___________________________________

Quan  Product/Size                     Price       Amount

____  Patsy Cline T-Shirt  S  M  L          $20   $_______

____  Patsy Cline T-Shirt  XL  2XL          $22   $_______

____  Classic Troubadour T-Shirt  S  M  L   $20   $_______

____  Classic Troubadour T-Shirt  XL  2XL   $22   $_______

____  Jim McCoy T-Shirt  S  M  L            $20   $_______

____  Jim McCoy T-Shirt XL 2XL              $22   $_______

____  Joltin’ Jim Paperback Book         $15.95   $_______

____  ___________________________________   $___  $_______

____  ___________________________________   $___  $_______

_________________________________  Shipping         $ 5.95

_________________  _WVa Residents add 6% Tax    $___________

____________________________________   Total    $___________

Make check out to Troubadour Lounge

Send to 25 Troubadour Lane, Berkeley Springs, WV, 25411