FOLLOW YOUR DREAM!
COMPANY NAME
PHONE
CUSTOMER NAME
E-mail
ADDRESS
DATE NEEDED
SHIRT TOTAL
SHIRT COST
TAX (.0825)
SHIPPING
$ GRAND TOTAL
*Please submit to
receive confirmation
**Company Name, Contact, Phone# & email address  MUST be completed**
BLACK HISTORY- PIECES OF THE DREAM
ORDER FORM
SM
MED
LRG
XL
2XL
3XL
4XL
TOTAL
YS
YM
YL
TOTAL
Heavyweight
Cotton T-Shirts
*$6.95
(S-XL)

Quantity     Price
(12 - 23)   $9.95
(24 - 35)   $8.95
(36 - 71)  $7.95
(72 +)      *$6.95

Additional sizes
2XL add $2
3XL add $2
4XL add $4
5XL add $5
6XL add $6
*See Chart
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