Order form Liva
Item description
 Price
($ CAD)		 Quantity
Album    
*** New ! ***
01-A) CD De Insulis
20,00
X
01-B) CD Requiem
20,00
X

Nightshirt Liva 		   
02-A) Small size
20,00
X
02-B) Medium size
20,00
X
02-C) Large size
20,00
X
T-shirt Requiem    
02-A) Medium size
25,00
X
02-B) Large size
25,00
X
02-C) X-Large size
25,00
X
02-D) Large size (for kid)
25,00
X
Poster Requiem    
03-A) folded in an envelope
8,00
X
03-B) protective tube
13,00
X
Requiem Long sleeves shirt    
04-A) Medium
35,00
X
04-B) Large
35,00
X
04-C) X-Large
35,00
X
04-D) XX-Large
35,00
X
Band's official tuque    
05-A) Liva tuque
20,00
X
Total cost : 
 

Postal address where we should ship your order.
*Name :
Email (opt): Phone (opt) :
*Road :
*City : *Province/State :
*Country : *Zip code :

Please this form and send it by mail to :

Stoke Records,
c.p. 24066,
Sherbrooke, Qc,
J1H 6J4

Do not forget to join :
1) a money order payable to Stoke Records
2) This printed and carefully filled form

We will deliver the items selected below by regular mail as soon as possible.
For any question, please feel free to contact us

thanks you for your support.