Dragonfly and Co. ~ Order Form

Best viewed with a screen resolution of 800 x 600
1024 x 768 preferred

TO INSURE A PROPER FIT, PLEASE ORDER EACH ITEM SEPARATELY!

CONTACT / SHIPPING INFORMATION

NAME:

MAILING ADDRESS:

CITY: STATE: ZIP:

(if different than above)
SHIPPING ADDRESS:

CITY: STATE: ZIP:

PHONE: E-MAIL:

I WOULD LIKE TO ORDER A:


DRUM HEAD COVER	DRUM BAG	SHEKERE BAG	FLUTE BAG

TO ORDER A DRUM BAG:

1. SELECT YOUR DRUM BAG'S MATERIAL
Simplistic Line

ABS Plastic Bottom Insert $10.00	Yes No
Aesthetic Line

ABS Plastic Bottom Insert $10.00	Yes No
With Optional COTTON Upper & Lower Border Trims:

ABS Plastic Bottom Insert $10.00	Yes No
Duffel Style Drumbag

ABS Plastic Bottom Insert $10.00	Yes No
1000D Cordura Fabric $5.00	Yes No
5x5" Tool Pocket $5.00	Yes No

2. ENTER YOUR DRUM'S MEASUREMENTS

using inches only please! cylinder drums only require those measurements indicated with *

* Length of Drum:
* Across Top of Drum:
* Around Top of Drum:
* Across Bottom of Drum:
* Around Bottom of Drum:
Length from Bottom to Widest Width:
Length from Top to Widest Width:
# of Lugs:
Length of Lugs:
Distance Between Lugs at Top Point:
Distance Between Lugs at Bottom Point:

TO ORDER A DRUM HEAD COVER:

1. SELECT YOUR DRUM HEAD COVER'S MATERIAL

1/4" Cotton Elastic Band or Black Cording with Cord Lock

With 1000D Nylon Pack Cloth or 430D Nylon Pack Cloth for $30.00:

Optional 5"x 5" Tool Pocket? yes no (total price $35.00)

With Optional COTTON Fabric for $35.00:

Optional 5"x 5" Tool Pocket? yes no (total price $40.00)

2. ENTER YOUR DRUM'S MEASUREMENTS

using inches only please!

Length (if ordering for a Conga drum, enter your measurement):
Across Top of Drum:
Around Widest Top of Drum:
Around Bottom:
Distance from Top to Widest Top:

TO ORDER A SHEKERE BAG:

1. SELECT YOUR BAG'S MATERIAL

1/4" Cotton Elastic Band or Black Cording with Cordlock

With 430D Nylon Pack Cloth:

With 1000D Nylon Pack Cloth:

With Optional COTTON Upper Trim:

With Optional COTTON Body Fabric:

2. ENTER YOUR SHEKERE'S MEASUREMENTS

using inches only please!
Length:
Diameter at widest point:

TO ORDER A FLUTE BAG:

1. SELECT YOUR BAG'S MATERIAL

1/4" Cotton Elastic Band or Black Cording with Cord Lock

With 430D Nylon Pack Cloth for $35.00:

With 1000D Nylon Pack Cloth for $40.00:

With Optional COTTON Body Fabric for $55.00:

NOW SELECT YOUR PAYMENT / SHIPPING METHOD

Shipping: UPS Ground UPS Air Fed-Ex

Payment Method: Check Money Order
*A 50% deposit is required for drum bags. Upon confirmation of order, further instructions will follow.

Dragonflyandco.com
6001 W. Parmer P.M.B. 138
Austin, TX 78727
512.331.5572
512.331.7508 fax

Questions? Comments? E-mail the webmaster