Country Store
Order Form

Send to:
Joe McDonald
P.O. Box 7064
Berkeley, CA 94707, USA
Subtotal _______
Add $10 for shipping & handling                
($20 outside US) _______
TOTAL _______

Please print your name and address clearly so that Country Joe can read it!
Ship to: Name ________________________________________________
Street Address ________________________________________________
City ________________________________________________
State/Province ________________________
Postal code ________________________
Country ________________________
Please inscribe item(s) to: ________________________________________________

Make check or money order payable to Joe McDonald. (We regret that we can only accept US cash and US checks due to the exorbitant fees US banks charge for handling other types. We apologize to our international customers.)