This form can be printed out for ease in ordering. Please mail or fax to the address listed below.
Design
Shirt
Color
Size
Quantity
Price
____________________
___________
_____
__________
__________
____________________
___________
_____
__________
__________
____________________
___________
_____
__________
__________
____________________
___________
_____
__________
__________
____________________
___________
_____
__________
__________
Shipping and Handling*
________
Total __________
* Please go to our Shipping and Handling Page *
Please allow 3 to 4 weeks for delivery.
Your name and street address:
_______________________________________
_______________________________________
_______________________________________
Make your checks (US funds) payable to:
Paleoartisans
or use your Visa, Mastercard, or Discover Card
(sorry, no American Express)
Acct#:
___________________________________ Exp. date:
_________________
Signature ___________________________________
Billing Address (if different from mailing address)
_________________________________________________
_________________________________________________
_________________________________________________
Please contact us at (you can
also request a copy of our free catalogue):