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.Johnson"

(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: $1.00// ANY size Order containing any T-shirts: $5.00 total shipping charge
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.Johnson) or postal money order to:
L.Johnson
67 Austerlitz St., Chatham, NY 12037
Please print your name and address CLEARLY, and include your phone or Email address so we can contact you in case of questions about your order. USA orders only please. We will ship your order within 48 hours.
E-mail us your Questions to: harmonia@taconic.net or Phone us at: (518)392-2743

Home (Wholesale Inquiries Welcome)