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(please make check or money order payable to Shirts by Geraldine)
Shirts by Geraldine

PO Box 224
Stillwater, MN 55082
E-Mail: rubyk@winternet.com

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Name:(print & signature)
Address:
City: Credit Card Number:
State & Zip: Expires:
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Item Name and Description

Price Each

Quantity

Total

Please indicate appropriate choices next to item being ordered.

 

    

Pansies #C006 Sweatshirt   Size:        

$33.00 add $2 for 2X & $3 for 3X

    

Pansies #C006 T-Shirt   Size:        

$26.00 add $2 for 2X & $3 for 3X

    

Moose #B006 Sweatshirt   Size:        

$34.00 add $2 for 2X & $3 for 3X

    

Moose #B006 T-Shirt   Size:        

$27.00 add $2 for 2X & $3 for 3X

    

3 Hearts with Daisies #D006 Sweatshirt   Size:        

$32.00 add $2 for 2X & $3 for 3X

    

3 Hearts with Daisies #D006 T-Shirt   Size:        

$25.00 add $2 for 2X & $3 for 3X

    

Subtotal:

  

Shipping and Handling: ($4 per Sweatshirt $3 per T-Shirt

 

North Dakota Residents Please Add 5% Sales Tax:

  

Please allow 2 - 3 weeks for delivery.

Total :