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 | ||||