A/PIC T-Shirt Order Form

Name:

Mailing address
Street Address:

City:

State:

Zip:

Your Email address:

T-shirt Sizes and Numbers:
S              Quantity:
M              Quantity:
L              Quantity:
XL             Quantity:
2XL            Quantity:
Costs: Please send $15 for each t-shirt your ordered, plus $3.50 mailing cost for 1-shirt, or $5.00 for 2-3 shirts. Large orders will be billed accroding to weight.

"SUBMIT" will SUBMIT your input;     "RESET" will RESET; to try again!
             

NOTICE: Your order will be filled as soon as we receive a check for the correct amount made out to DRUUMM with "A/PIC T-shirt" in the memo line.
Please send check to:

KokHeong McNaughton
803 Quartz St.
Los Alamos, NM 87544