Diversity of One T-Shirt Order Form

 

 

Unending Diversity Shirt

Send To: Diversity of One, LLC

PO Box 275

Seven Valleys, Pa.

17360-0275

Size

No of shirts

 

X

Cost

=

Subtotal

Small

 

X

 

X

 

X

 

X

$10

 

$10

 

$10

 

$10

=

 

=

 

=

 

=

 

 

 

 

Make Checks Payable To:

 Diversity of  One , LLC

 

Medium

 

Large

 

x-Large

 

Feline Diversity

Small

 

Medium

 

Large

 

x-Large

 

X

 

X

X

X

$10

 

$10

 

$10

 

$10

=

 

=

 

=

 

=

 

 

Mailing Cost ($4 for one shirt,

$1.00 for each additional shirt) =

                                       TOTAL:

        

SHIP TO:  (NAME)__________________________________________________

                 

                  (ADDRESS)_______________________________________________

 

                  (TOWN)__________________________________________________

 

                  (STATE and ZIP CODE)_____________________________________

 

$15 Cost for Returned Checks