directions:

1.) Print out form and fill it out according to your needs

2.) Send form with personal checks and money orders payable to
    Upright Citizens Brigade to the following address:

Upright Citizens Brigade
Attn: t-shirts/cds
161 W. 22nd Street
New York, NY 10011

3.) Allow 2-6 weeks delivery.

I require:


UCB Logo on Black

       Size: Medium        Quantity: ______

       Size: Large         Quantity: ______

       Size: Extra Large   Quantity: ______


UCB Logo on White

       Size: Medium        Quantity: ______
 
       Size: Large         Quantity: ______

       Size: Extra Large   Quantity: ______

       Size: 2X Large      Quantity: ______

ASSSSCAT 2000

       Size: Small         Quantity: ______

       Size: Medium        Quantity: ______

       Size: Large         Quantity: ______

       Size: XtraLarge     Quantity: ______


May I Help You (Dumbass)?
       CD                  Quantity: ______

     
Total: ______  x $10.00/item  Subtotal: _______
                              
                              + Shipping: $4.00
							   
                               Total:    _______
							   

Send to:
__________________________________________

__________________________________________

City__________________State_____Zip______


Phone Number: ____________________________


I agree to support chaos in all it's forms in all
my thoughts and deeds:

Your Name (print):_____________________

Signature: ____________________  Date:_________