Order Form

Shipping	Billing □-Check here if same as Shipping
Name: _______________________________________ Address: _____________________________________ Address 2:____________________________________ City, St, Zip: _________________________________ Phone: _________________ FAX: _______________ E-mail: ______________________________________	Name: _______________________________________ Address: _____________________________________ Address 2:____________________________________ City, St, Zip: _________________________________ Phone: _________________ FAX: _______________ E-mail: ______________________________________
Order Details: Quantity: Red Hat/White Shirt: S:___ M:___ L:___ XL:___ Gold Hat/Navy Shirt: S:___ M:___ L:___ XL:___ Navy Hat/Grey Shirt: S:___ M:___ L:___ XL:___ Total Qty: ___ Combos @ $32 each = $___________ Shipping and Handling will be added to each order.	Payment Information Check One: □Visa □Mastercard Name on Card: ________________________________ Card Number: _________________________________ Expiration Date: ___/___ CVV2: _____ (last 3 digits on signature strip)

Signature: ________________________________