Please provide the following contact information:

*First Name
*Last Name
Work Phone
*Home Phone
FAX
*E-mail

* indicates required field

Please provide the following ordering information:
[If you wish to order items with differing shirt sizes, please separate them by ordering separately in the area lower on this form.]

QTY	DESCRIPTION

Please choose a shirt size for above items, if applicable.

Small Medium Large XL XXL

To order for a different shirt size, provide the following information.
[If you want to order for a third shirt size, please submit a second order form.]

QTY	DESCRIPTION

Please choose a shirt size for above items.

Small Medium Large XL XXL

Choose one of the following options:

Please ship the items to the address below. I will send a check.
Please hold the items for pickup.

Note: After submitting your online order form, please e-mail Kolette Studdert to confirm availability and, if necessary, arrange shipping.

If you want the order shipped, please specify the address below and include the shipping fee. [The fee will be arranged after you e-mail Kolette Studdert as noted above.]

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please enter your order's total price.

Enter any comments, questions or special requests.