RED INK Order Form 12

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RED INK Order Form 12 Powered By Docstoc
					                   RED INK Merchandise Order Form
  Print and complete this form and mail it with a payment (check or money order made out to: RED INK).
                           Shipping and handling are already included in all prices.

Shirts ($16.00)         Specify color          Specify Size          Quantity                    Subtotals

RED INK               BLK     WHT           L        XL        XXL                  x $16.00 =
Rewrite History       BLK     WHT           L        XL        XXL                  x $16.00 =
RED INK Premier Shirts (limited amount for only $11.00)
Four Images           WHT ONLY              L        XL        XXL                  x $11.00 =
Killsback Image       BLK     WHT           L        XL        XXL                  x $11.00 =

Poster Prints ($8.00)                                          Quantity                          Subtotals

Jason Brown Image                                                         x $8.00       =
Killsback-With Strength                                                   x $8.00       =
Killsback-First Place at Kyi-yo                                           x $8.00       =
Bitsui-Epicenter                                                          x $8.00       =
Bitsui-Chrysalis                                                          x $8.00       =

Mousepads ($16.00)                                             Quantity                          Subtotals

Buffalo Hat                                                               x $16.00      =
Deer Dancer                                                               x $16.00      =
Wounded Knee                                                              x $16.00      =
Classic Red Ink                                                           x $16.00      =
TOTAL AMOUNT ENCLOSED                                                         $_____________
NAME

ADDRESS

CITY, STATE                                                          ZIP

PHONE #                                           EMAIL


Send with payment to:   RED INK PUBLICATION
                        c/o American Indian Studies Programs
                        218 Harvill Building
                        P.O. Box 210076
                        Tucson, AZ 85721-0076

Date Received:                             Received By:                      Payment?             In Database?

				
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