| HARD GLOCK CAFE ORDER FORM (PRINT FORM, FILL OUT AND MAIL) |
| NAME __________________________________________________________________________________ |
| ADDRESS __________________________________________________________________________________ |
| SHIRT/HAT INFO COLORS OFFERED RIGHT NOW IS RED T-SHIRTS AND HATS ARE 12.00 EACH FOR S, M, L, XL(HATS ARE ONE SIZE FITS MOST) ADD .50 cents FOR XX-L AND .75 cents FOR XXX-L xxl and xxxlg will take longer to process for they are special orders SHIPPING IS 3.00 for one shirt, 5.00 for two, 7.50 for three or more WITHIN THE UNITED STATES INTERNATIONAL SHIPPING CHARGES APPLY (CONTACT ME VIA EMAIL FOR INTNL SHIPPING COST) |
| CITY STATE ZIPCODE __________________________________________________________________________________ |
| ORDER INSTUCTIONS SEND MONEY ORDER TO Jim Merritt PMB 5128 1030 W. HARVARD ROSEBURG OREGON 97470 THEN SEND US AN EMAIL ON SHIRT SIZE, QUANITY, ETC so we can prepare order |
| QUANITY SIZE (S) TOTAL COST ________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ |