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.