ORDER FORM

Please print and fill out form completely for quick service.

YOUR NAME____________________________________________________

SHIPPING ADDRESS____________________________________________

________________________________________________________________

Phone (___)_________ YOUR EMAIL ADDRESS _______________________________

Item
Quantity
Color
Size
Price Each
Note: XXL+ add $2.00 each shirt
Total
Fully-embroidered 3.75-inch logo/front      
$25.00
   
Heat-transferred 3.75-inch logo/front      
$15.00
   
Heat-transferred 11-inch logo/back      
$25.00
   
Fully-embroidered 3.75-inch logo/front; Heat-transferred 11-inch logo/back      
$40.00
   
Heat-transferred 3.75-inch logo/front; Heat-transferred 11-inch logo/back      
$30.00
   
   
 
Shipping & Handling
No. of Item
Shipping Price for Each Item
 
USPS Priority Shipping with Delivery Confirmation for each ordered item.  
$4.00
 
TOTAL DUE
 

Payment methods: Personal Checks, Cashiers Check, or Money Orders

PAYEE NAME: ALL Checks/MO Payable to
True Power Martial Arts, Inc.

MAILING ADDRESS

Lou Costabile
c/o True Power Martial Arts, Inc.
126 Schmidt Drive
Hampshire,  IL 60140

NOTES:__________________________________________________________