Sundial T-shirt Printable Order Form

Printable Order Form For
The T-Shirt That Tells Time!

Print this form immediately to use in mail order or fax orders.

$6.00 each

SHIPPING US 5.95

AK, HI, PR and US Territories, add an additional $4

Canadian Orders, Add $6.60 US

Europe etc, Add 13.40.

Name: ____________________________________________________________

Address: ______________________________________________________

______________________________________________________

City: ____________________State: _________Postal Code/Zip _____________

COUNTRY: ________________________

EMAIL: ______________________________________________

Ship To: ( ) Same as above

( ) This Different Address Below:

Name: ______________________________________________________

Address: _______________________________________________

_______________________________________________

City:____________________State:__________Postal Code/Zip _________

COUNTRY: ________________________

Telephone: ______________________________________________________

EMAIL: ______________________________________________

Fax Number (if you fax your order to us, we need this): _____________________________

Which Size: M _______ >>ONE SHIRT--- $6.00	Number of shirts ___________	= $ _______________
		+ $ _______________
Shipping Charges (see table above):		+ $ _______________
Total		= $ _____________

Make Check payable to Hermograph Press, at 3605 Sandy Plains Road, Suite 240-203, Marietta, GA 30066

Or fax form to 404 393 7037 with the credit card information below:

Pay with: ( ) American Express ( ) MasterCard ( ) Visa

Name on the Card: ______________________________________________________

Card Number: _____________ _______________ _____________ _____________

Expiration Date: _____ / _______ Security Code: ____________

Signature: ___________________________________________

Returns accepted for 30 days if in saleable condition.