Order Form

To order:

Print out this form, fill in and mail with a check or money order to:

Glenn Hamp

750 W. Baseline Rd. Apt. #2082

Tempe, AZ 85283

(480) 699-5731

Product
Quantity
Total Qt.

Medium ..........

Large ............

X Large ........

........................
Each shirt is $12.00

Shipping and handling per shirt $3.50

(for international shipping &handling; $6.00 per shirt)

Total per shirt (U.S.)..............$15.50

Total order amount $......................

Mail to : Name ..........................................

Street address1: .........................................

Street address2: ..................................................

City:........................................State: ...........Zip code .....................

Country: .....................

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