Order Form

Name
Date
Address
Phone   (         )
City
State
Zip
Qty
Style
(Choices)
Size
Color
(Choices)
Item #
(if non-PT)
Description (include PT color)
Add Special Rates
$4 non-silver PT   •   $4 non-PT tee
$5 non-PT tank   •   $2 non-PT sweatshirt

Price
 
Tanktop $40

Tee $45

Sweatshirt $50
SM   M   L   XL

1X    2X   3X
–add $3.00–
(tank not available)
 
 
 
 
 
Tanktop $40

Tee $45

Sweatshirt $50
SM   M   L   XL

1X    2X   3X
–add $3.00–
(tank not available)
 
 
 
 
 
Tanktop $40

Tee $45

Sweatshirt $50
SM   M   L   XL

1X    2X   3X
–add $3.00–
(tank not available)
 
 
 
 
 
Tanktop $40

Tee $45

Sweatshirt $50
SM   M   L   XL

1X    2X   3X
–add $3.00–
(tank not available)
 
 
 
 
Please allow 6 - 8 weeks for delivery
Sales Tax for CA residents only

Cash, Checks, Money Orders
Payable to:

Roxanne Brown
4542 Hardwood Blvd
Redding, CA 96003
530-229-1005
Subtotal
CA Sales Tax 7.25%
Shipping & Handling
Order Total
 

 

$5.00