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ICU SHIRTS

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ICU SHIRTS Powered By Docstoc
					                                               ICU T-SHIRTS
               “Hidden”                                                  “Soul Searching”                                                  “Ornioptic”




                                                                                                                            PHONE 503-229-8490
                                                                                                                               FAX 503-224-0740
2525 NW Lovejoy Ave • Portland, OR 97210 • www.fredharwin.com                                                                EMAIL fred@harwinstudios.com

Ordered by                                                                               Ship to             Same as Ordered by

Name                                                                                     Name
Company                                                                                  Company
Address                                                                                  Address
City                                                   State       Zip                   City                                              State   Zip
Daytime Phone                                                                            Daytime Phone
Quantity   Description                                                                                                           Cost Each         Item Total
               "Hidden" Mens T-Shirt, Black,                              S        M         L        XL       XXL                  $30.00
               "Hidden" Womens T-Shirt, Black,                            S        M         L        XL       XXL                  $30.00
               "Soul Searching" Mens T-Shirt, Black,                      S        M         L        XL       XXL                  $30.00
               "Soul Searching" Womens T-Shirt, Black,                    S        M         L        XL       XXL                  $30.00
               "Ornioptic" Mens T-Shirt, Black,                           S        M         L        XL       XXL                  $30.00
               "Ornioptic" Womens T-Shirt, Black,                         S        M         L        XL       XXL                  $30.00
                                                                   Please allow 2-3 weeks for delivery              Total price of items

Method of payment                                                                                                   Shipping                             $6.00

   CREDIT CARD Please charge my:       MasterCard        VISA   Expiration Date (Month/Year):_____________
                                                                                                                    Total Amount
                                                            CVC / Security Number:
Card Number: __________________________________________________________________________

Signature (as shown on credit card):___________________________________________________________

   Check or Money Order Include with your MAIL order                   Cash Accepted with over-the-counter orders              fredharwin                  com

				
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posted:6/6/2012
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