Tee Shirt Order Form Word Doc - PDF - PDF

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Tee Shirt Order Form Word Doc - PDF - PDF Powered By Docstoc
					                NATIONAL MARCH TEE SHIRT ORDER FORM
          We are requesting that each person that marches in the Providence March to End the Silence on
          Saturday, May 22nd at 1:00 P.M. wear our specially designed 100% cotton short sleeved tee shirt.




                                                                                         STATE NAME




                                                                                       Providence, Rhode Island
                                                                                             May 22, 2004




                         FRONT OF TEE                                                      BACK OF TEE
                                                 ORDERING INFORMATION:
   If you attended the first national march in Washington, DC in 1997, you will order your tee shirt in lavender.
                 If this will be your first national march, you will order your tee shirt in off-white.
                 ALL TEE SHIRTS ARE $15.00 EACH – INCLUDES SHIPPING!

Sizes available: Adult S (32), M (34/36), L (38/40), XL (42/44), 1X (46/48) & 2X (50/52)
                 Children’s S (6/8), M (10/12), L (14/16), XL (18/20)

I WOULD LIKE TO ORDER THE FOLLOWING:                             STATE/COUNTRY NAME: ____________________

_____ tee shirts, size Adult______, color ____________ @ $15.00 each = $____________

_____ tee shirts, size Adult ______, color ____________ @ $15.00 each = $____________

_____ tee shirts, size Adult ______, color ____________ @ $15.00 each = $____________

_____ tee shirts, size Child ______, color ____________ @ $15.00 each = $____________

                                 TOTAL AMOUNT DUE:                            $____________
Please charge my credit card: ___MCARD                    ___VISA        #___________________________ exp date_____

Name on card as it appears: _________________________________________
            If using your credit card, please FAX order to BLOWFISH at (401) 849-3223
____ Check enclosed, made payable to BLOWFISH
   Please mail to BLOWFISH, 1134 Aquidneck Avenue, Middletown, RI 02842 (phone 401-849-2367)
             Order will be processed when check is received. Allow 2-4 weeks for delivery.
SHIP TO: (NO P.O. BOXES!) NAME: ________________________________________________

ADDRESS:___________________________________ CITY:______________STATE:____ZIP:_____
(all orders made by countries other than the U.S., will NOT be shipped – they will be available for pick up at the march in RI in May)

                        Orders MUST be received by May 1st to receive your tees in time for the march.

				
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