Mail Order Form
Use this form for mailing your order via money order or cashier's check.

Bill To:
Name  
Address  
   
City,ST,Zip  
Day Phone  
E-mail  
Ship To: (if different from billing address)
Name  
Address  
   
City  
State, Zip  
Shipping: 1 tee: $3.99 | 2 tees: $5.99 | 3 tees: $6.99 | 4 or 5 tees: $8.99 | 6 or more tees: $9.99
 
Qty Name Color Size Price Total
           
           
           
           
SubTotal  
Shipping and Handling  
Total  
Please Enter Your Total Payment Amount  
 
Method of Payment:
(circle one)   Money Order   -   Cashier's Check

Print this Form, Fill in your Address & Payment Information, & Send the Completed Form to:

JOHNNY NIXON
25 CLEARVIEW CIR
MCDONOUGH, GA 30253

NO PERSONAL CHECKS.