You may
print the form, fill out and mail along with your check,
money order or certified check
to:
BJ
Promotions - P.O. Box 294 - Brookneal, VA. 24528
| SIZE |
COLOR
BLACK |
COLOR
WHITE |
QTY |
TOTAL |
| 2T |
$14.00 |
$12.00 |
____ |
_____________________________ |
| 2-4 |
$14.00 |
$12.00 |
____ |
_____________________________ |
| 6-8 |
$14.00 |
$12.00 |
____ |
_____________________________ |
| 10-12 |
$14.00 |
$12.00 |
____ |
_____________________________ |
| 14-16 |
$14.00 |
$12.00 |
____ |
_____________________________ |
| Small |
N/A |
N/A |
____ |
_____________________________ |
| Med |
$17.00 |
$15.00 |
____ |
_____________________________ |
| Large |
$17.00 |
$15.00 |
____ |
_____________________________ |
| XL |
$17.00 |
$15.00 |
____ |
_____________________________ |
| XXL |
$19.00 |
$17.00 |
____ |
_____________________________ |
| XXXL |
$19.00 |
$17.00 |
____ |
_____________________________ |
| |
Total |
|
____ |
_____________________________ |
$4
for initial shipping and handling;
add $1 for every additional shirt |
|
_____________________________ |
| TOTAL
AMOUNT ENCLOSED |
|
_____________________________ |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip |
|
| Phone Number |
|
| Payment
Method: |
___ Check
Enclosed |
___ Money
Order |
___ Certified
Check |
_