Name:_________________________________________________________ Street Address________________________________________Apt#______ City_________________________________State__________Zip_________ Home Phone:_____________________Business Phone___________________ |
PAYMENT: o Check (Payable to Law Activewear) o Money Order Credit Card o VISA o MasterCard Acct #____________________________ Expiration
Date:______--_______ |
QTY | ITEM # | DESCRIPTION, LOGO, COLOR, SIZE | PRICE EACH | TOTAL PRICE |
Sub Total | ||||
Shipping | ||||
NYS Residents add 8% Sales Tax | ||||
TOTAL |