NXTWRLD MERCHANDISE ORDER FORM

(please print and mail with check or money order)

MAKE CHECK/ M.O. PAYABLE TO JOHN WELBORN

ITEM #   DESCRIPTION N001          T-SHIRT        PRICE $12 EACH

ITEM #                QUANTITY             TOTAL $___________

mail order form to: NXTWRLD c/o John Welborn 3992 KEYNON DR. MEMPHIS, TN 38125

SHIP TO: NAME                                                                   ADDRESS                                                             CITY, STATE ZIP

PLEASE ALLOW 2-4 WEEKS FOR DELIVERY! GOD BLESS!