Print and mail this form to: qrstuvr
- P.O. Box 8371 - Brattleboro, VT - 05304-8371 USA OR print and fax this form to: (773)
477-5620 Attention: qrstuvr
*How do we contact you if there's a problem?_______________________________
Order Information
Shipping
prices are as follows:
-T.shirts-$3.00 for one shirt, $1.50 each additional shirt.
-Stickers-$.50 (fifty cents) one flat rate, no matter how
many you order.
-Prints-$3.00 flat rate, no matter how many you order.
Item#/Description
Size:
Quantity
Price each:
*Shipping
Total $$
Total (including
shipping):
Please double check your order and your math. We suggest
you make a copy once you have it filled out.
Check or money order can be made out to: qrstuvr
Be sure to INCLUDE THIS FORM with your
check or money order (NO C.O.D.'S) and mail them to:
qrstuvr
P.O. Box 8371
Brattleboro, VT
05304-8371
Check here to be notified by phone when your order has
been received.
Check here to be notified by email when your order has
been received.
No thanks, I don't need to be notified.
