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Order Form
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(circle size, color, and style)
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Quantity
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Size
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Color
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Sleeve Style
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Enter Cost
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M L XL
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Sand White
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Short Long
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$
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M L XL
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Sand White
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Short Long
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$
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M L XL
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Sand White
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Short Long
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$
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M L XL
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Sand White
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Short Long
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$
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| Total Number of Shirts Ordered
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Total Amount for Shirts
($12$8 for short sleeve, $15$8 for long) |
$
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Shipping and Handling Amount
($3 for first shirt plus $1 for each additional shirt) |
$ |
| Total Amount Enclosed
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$
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| Ship To: |
| Name
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| Address
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| City
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| State
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| Zip
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| Phone
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Print out this page, fill out order form, and mail with check to:
Tri-State Dharma
P.O. Box 36528
Cincinnati, OH 45236
Make checks payable to: Tri-State Dharma
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