Name: ___________________________________________________________ Date: __________________ Address: _________________________________________________________ __________________________________________________________ |
| email: | phone: |
| ----------- Item Description ----------- | Size | Price | Quantity | Total |
|---|---|---|---|---|
| 2002 Australian Eclipse T-Shirt | small | $22 | ______ | $________ |
| 2002 Australian Eclipse T-Shirt | medium | $22 | ______ | $________ |
| 2002 Australian Eclipse T-Shirt | large | $22 | ______ | $________ |
| 2002 Australian Eclipse T-Shirt | x-large | $22 | ______ | $________ |
| Take 10% Discount for 3 or more T-shirts! | Sub-Total | $________ | ||
| Bank Collection Fee (for all foreign or non-USA checks - $10) | Bank Fee | $________ | ||
| Shipping and Handling First shirt: USA - $6, Canada - $7, Europe - $12 Each additional shirt add: USA & Canada - $2, Europe - $4 | S & H | $________ | ||
| Total | $________ |
| Please print this Order Form and fill it out as accurately as possible. Payment may be made in either cash (US dollars) or check (US dollars). Sorry, no credit cards. Note that all foreign (non-USA) checks require a $10 collection fee charged by our bank. Checks should be payable to "Fred Espenak". Mail this completed Order Form along with your payment to: Fred Espenak |
