Order T-Shirt Form

We have made this form as simple and user-friendly as possible. 

IMPORTANT! � Be sure to fill in areas preceded with an asterisk *. 

- - INCOMPLETE FORMS CANNOT BE PROCESSED! - -

VISA and MasterCard accepted. Credit card information required:

*T-Shirt Sizes and Quantities:

XX Large	Quantity
X Large	Quantity
Large	Quantity
Medium	Quantity

*Shipping Information:

*First Name
*Last Name
*Street Address 1
Street Address 2
Apartment #
*City
*State/Province
*Zip/Postal Code
*Country
*E-mail
*Phone

 

Thank you for your interest in our products.

� Perry Kime, CEO, FLO Headworks

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