_______________________________________________________________________________________________ NAME _______________________________________________________________________________________________ ADDRESS _______________________________________________________________________________________________ _______________________________________________________________________________________________ CITY, STATE & ZIP _______________________________________________________________________________________________ E-MAIL ADDRESS & PHONE NUMBER |
| Title | Quantity x price each = total |
SMALL - LARGE (indicate size) |
_____ x $15.00 = __________ |
1X - 3X (indicate size) |
_____ x $17.00 = __________ |
| TAX...(IOWA ONLY @ 5%) |
+ $_____________ |
| SUB-TOTAL |
+ $_____________ |
|
+ $_____________ |
TOTAL : |
$_____________ |
| ALSO ...Let me know if you want your t shirts autographed...
no charge.. :) Thank you for your order.......Tammy |
|
Mail to: ALISTI MUSIC P. O. BOX 265 MITCHELLVILLE, IOWA 50169 |