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 WHITE | QTY | TOTAL |
|---|---|---|---|
| 6-8 | $20.00 | ____ | $____________ |
| 10-12 | $20.00 | ____ | $____________ |
| 14-16 | $20.00 | ____ | $____________ |
| Med | $20.00 | ____ | $____________ |
| Large | $20.00 | ____ | $____________ |
| XL | $20.00 | ____ | $____________ |
|
|
Total | ____ | $____________ |
|
TOTAL AMOUNT ENCLOSED $____________ Shipping and handling included |
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| Name | |
| Address | |
| City | |
| State | |
| Zip | |
| Phone Number |
| Payment Method: | ___ | Check Enclosed | ___ | Money Order | ___ | Certified Check |
| Please allow 2 to 4 weeks for delivery |
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