
THE
Name:
Address:
City:
State:
Zip
Code:
Home
Phone:
Cell Phone:
Email:
Select
Quantity:
T-Shirt (s) x
$18 + $7 = _______
Hat (s) x $18 + $5 = _______
Total: $_______
Size (s)
Special
Order Request (prices available by email): mailto:guyfolger@aol.com
PAYMENT METHOD:
Make Check Payable to:
TO MAKE PAYMENT BY CREDIT CARD, FILL OUT THIS FORM
CARD MEMBER:
Name (First
Last):_________________________________________________________________________________
Address:___________________________________________________________
City, State and Zip
Code:___________________________________________________________________
Email Address: ___________________________________________________
Telephone:(________)_______________________________________________
Charge My: Card Number:__________________________Expiration
Date:________________
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$0-99 $1.50 Fee
MasterCard
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Call For Orders of $100 and
Over 405-308-2829
Send Form to:
Cathy Compton
401 NW
46th Terrace