T-SHIRT
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Order Number Quantity Price Total Size(s)
WH3 "blue" ________ $US 17.00 ($CAN 25.00) ________ ________
WH4 ________ $US 20.00 ($CAN 29.00) ________ ________
WH2 "USA Gold" ________ $US 18.00 ($CAN 26.00) ________ ________
Shipping ________
Grand Total ________

CANADA and USA
SHIPPING CHARGES (via airmail)

One T-Shirt - $3.00
Two T-Shirts - $4.00
Three T-Shirts - $6.00
Four to six T-Shirts -$8.00
Seven or more - $12.00

 

INTERNATIONAL SHIPPING CHARGES
in US dollars (via airmail)
One T-Shirt - $4.00
Two T-Shirts -$5.00
Three T-Shirts -$6.00
Four or more T-Shirts -please ask for rates


Please make payment payable to: A. Chernin

Name:________________________________
Mailing Address: ____________________
_____________________________________
City: _______________________________
State/Province: _____________________
Country: ____________________________
Postal/Zip Code______________________
email:_______________________________

Please don't hesitate to contact us
if you have any questions about your order
or have any other comments about our website.

Mail this order form to:


A. Chernin
#706-2025 Bellevue Ave.
West Vancouver, BC
Canada V7V 1B9


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