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