Order Form for Kindred Spirit T-shirt

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Name___________________________
Address_________________________
City____________________________
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Horse Lover T-Shirt $10.00 Plus S&H    Sizes S, M, L, XL

Make a print out of this order form and mail it to the address below.
or
Fax this order form to (570) 758-2770

Shipping Information

Order Total

S&H

Up to $20.00

$6.00

$20.01 - $40.00

$7.00

$40.01 - $60.00

$8.00
$60.01 - $80.00 $9.00
$80.01 - $100.00 $10.00
$100.01 - $120.00 $11.00
Over $120.00 $12.00

Qty

Size

Price Ea.

Total
    $10.00 $
    $10.00 $
    $10.00 $
    $10.00 $
    $10.00 $

Sub Total

 $

S&H

 $

Total

 $
Mail orders with a check or money order to:
Wiseman Graphics
P.O. Box 383
Herndon, PA 17830

E-mail the artist at portraitpainterone@juno.com with your questions.

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