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Name ______________________________________________________________________ Address or P.O. Box __________________________________________________________ City / Zip Code _______________________________________________________________ Phone _________________________________________ E-mail address ___________________________________ Please fill in the quantities of each shirt wanted: |
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Classic: __________ large __________x-large @ $14.95 |
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3-Eyed: __________ medium __________ large __________ x-large @ $12.95 |
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Subtotal: __________ |
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Shipping: __________ |
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(Shipping rates are $3.00 for the first shirt, $1.00 for each additional shirt.) |
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Total: _____________ |
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| Personal check, money order, or cashier's checks are all accepted. Make payable to: | ||
| NUKE radioActivewear | ||
| COD available for an extra $5 COD charge. Money order or cashier's check only for COD. | ||
| Please allow 4-7 days for delivery. | ||
| Send order to: NUKE radioActivewear, 2611 Orchard Lane, Lawrence KS, 66049 | ||
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Copyright 2001, Ken Crawford and
NUKE, All Rights Reserved
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