Order Form
Please print out this order form on your printer, then fill it in. NOTE: Sorry, we do NOT accept credit cards, -you'll need to send a check with your order. Please make your check out to "L.Sullivan"

(T-Shirts: $16.95 each, Bumper Stickers: $2.00 each)
-Qty- ....Item#.... ..........ItemDescription.......... Size(shirt) Color(shirt) PriceEach Totals for Items....
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . Sub-Total $
. . *ADD SHIPPING (see below) . . *Shipping +$
. . . . . TOTAL Enclosed $

*SHIPPING: Orders of BumperStickers ONLY: $2.00 // Orders with ONE T-shirt: $6.00 // Any order containing MORE THAN ONE T-shirt: $8.00
Ship To: Name________________________________
StreetAddress___________________________________
City, State, zip code_________________________
Phone or Email___________________________________


Please print out this order form, fill it in and send it along with your check (made out to L.Sullivan) or postal money order to:
L.Sullivan, 67 Austerlitz St., Chatham, NY 12037
Please print your name and address CLEARLY. Include your phone or Email address so we can contact you with questions about your order. USA orders only please. Your order is shipped within 48 hours.
E-mail your Questions to: harmonia@taconic.net


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