Remit To: PATACCO / P.O. Box 15584 / Hattiesburg, MS 39404

T-SHIRT ORDER FORM

All shirts are Name Brand, 100% HEAVY Cotton, with 4-color Screen Prints on the back of the shirts. All shirts have pockets.

White Shirts : $19.95 ea.           Black Shirts : $21.95 ea.

Shipping : 1-3 shirts, add $5.00 / 4-6 shirts, add $8.00 / 7-10 shirts, add $10.00
(11 shirts or more, add 5% of Sub-Total for shipping)

~ If paying by check or money order, send to the address listed above
~All Orders are shipped via the U.S. Postal Service "priority mail"
~For all Special Order Requests, please e-mail : sales@2invent.com

 

Selection

(quantity per size)

Total Qty.
(per selection)

Retail

Extension

S

M

L

XL

XXL

XXXL

example

1

2

1

4

$19.95

$79.80

A

$19.95

$

B

$21.95

$

C

$19.95

$

D

$21.95

$

E

$19.95

$

F

$21.95

$

G

$19.95

$

H

$21.95

$

Sub-Total

$

(MS Residents ONLY Must Pay a .07% State Sales Tax)

MS Sales tax

$

Shipping

$

Total

$

SHIP TO

Name:

Address:

City/State/Zip:
Email

Telephone

Payment Option (check one):

Money Order

Check

Credit Card

Card Type (check one):

VISA

MASTERCARD

 

Card Number

  Exp. Date

Name as it appears on Card

 

Dollar Amount

$


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