T-Shirt Order Form


Important:  Please note that at the present time, the T-Shirt Order Form is not 'up and running'.....if you wish to order t-shirts, please print out the text order form on the previous page, and send it to the address indicated, along with your payment. 

Please watch this Order From page for progress updates....

NOTE: At This time, ONLY Money Orders, Personal Checks, Cash, or C.O.D.'s are available, through the Text Mail-In Form.

*This order form page will fully operational soon.*

**Thank you for your patience.**


Please click your browser's 'Back' button, or HERE to return to the Text Mail-In Form...


Please Enter Your Name:
Please Enter Your Address:
Please Enter Your City:
Please Enter Your State/Province:
Please Enter Your Zip/Postal Code:
Please Enter Your Country:
Please Enter Your E-Mail Address:

Credit Card Information

Please Choose A Payment Method:

 

 

Please Enter Credit Card Number:

Expiration Date (MM/YY):

Name on Credit Card:

Billing Information if different from above:

Address:
City:
State/Province:
Postal Code:
Country:

T-Shirt Purchase Information

Please check the size and indicate the number of T-Shirt(s) you wish to order:

Design #1 - Black & White Portrait of Terri on the front,
Terri's Web Site Banner on the back:

Small

Medium

Large

Extra Large

 Quantity

Quantity

Quantity

Quantity

 

Design #2 - Color Portrait of Terri on the front,
Terri's Web Site Banner on back:

Small

Medium

Large

Extra Large

Quantity

Quantity

Quantity

Quantity

 

Total Number of T-Shirts:

Sub-Total Cost of T-Shirts @ $23.00 Each:

Plus 5% Maryland Sales Tax:

Plus Shipping @ $2.50 per shirt:

 

Total Cost of Your Order:


Thank You For Your Order!


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Last Updated: 1/2/2004
Webmaster: The Evil Twin
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All Rights Reserved

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