| ITEM | COLOR/STYLE (Enter color/style from available choices on website) |
PRICE (EACH) | QTY | Size (S, M, L or XL) |
Shipping (See Rates) |
Subtotal |
| GLOW-IN-THE-DARK T-SHIRT | Black with white glow | $16.00 | ||||
| GLOW-IN-THE DARK T-SHIRT | Black with yellow glow | $16.00 | ||||
| GLOW-IN-THE-DARK T-SHIRT | Black with blue glow | $16.00 | ||||
| BUMPER STICKER - TEXT ONLY | $2.00 | N/A | N/A | |||
| BUMPER STICKER - BIG SCREEN | $2.00 | N/A | N/A | |||
| BUMPER STICKER - LIVE MODERN | $2.00 | N/A | N/A | |||
| WARNING: E-MAIL 99wdrivein@msn.com BEFORE PLACING ORDER TO CONFIRM AVAILABILITY! |
GRAND TOTAL |
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SHIPPING RATES |
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| Address |
| City, State ZIP |
| E-Mail Address |
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