Order Form
To order, print and mail this form with payment (check or money order payable to: Madison Fireworks Fund, Inc.) to the address below.

T-shirts (100% cotton, pre-shrunk) - $16.00 each
Sizes available are S, M, L

2007 DVDs (sorry no VHS videos are available) - $22.00 each (All prices include shipping and handling.)

A limited number of videos are available for prior Rhythm & Booms events (except for 2002). Please indicate if you wish to order a prior year - prior year videos are $20.

Name:
Address:
City, State, Zip:
Daytime Phone:
T-Shirts - $16 each Size S, M, L	Indicate Quantity of each size: _______M /_______ L /________ XL /________XXL Total T-shirts __________ @ $16 each = $ __________
2007 DVDs - $22 each	2007 DVDs ____________@ $22 each = $ __________
Prior Year Video Tapes - $22 each	____ [year] Video Tapes ___@ $22 each = $ __________
Donation for Rhythm & Booms	Enclosed is my tax-deductible donation = $ __________
	TOTAL MERCHANDISE / DONATION = $ _________

Please help support Rhythm & Booms - contribute online!
Your tax-deductible donation is appreciated. Thank you for your support!

Mail with payment to:

Madison Fireworks Fund, Inc.
6515 Grand Teton Plaza
Suite 140
Madison, WI 53719
Ph: (608) 833-6717
Fax: (608) 829-3181