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PLEASE PRINT THIS PAGE & COMPLETE IT TO MAIL WITH YOUR PAYMENT.

Yellow No. 5 (BLACK) T Shirt = $12.00

Circle the Design and Size of each shirt you want; If buying more than one shirt, write the quantity BELOW each title :

ARMY M - ARMY L - ARMY XL

 

SPLAT M - SPLAT - L - SPLT - XL

 

LOGO M - LOGO L - LOGO XL

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Yellow No. 5 Iron-On Patch = $5.00

PATCH QUANTITY___

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FREE SHIPPING ON ALL ORDERS!  -  Your Total is $ ____________

THANKS :)

Your SHIP TO ADDRESS:

Name: ___________________________ 

Street or PO Box: ______________________________________

City/State/Zip: _______________________________________________

Optional Information:

Your Email Address for Order Confirmation: _________________________________________

Please add us to your MySpace at: myspace.com/yellowno5

I am buying your stuff for: (MYSELF) - (MY MATE) - (MY KIDS) - (MY PARENTS) - (OTHER) _____________

Thank you for your support. Please mail your payment and this complete order form to:

Yellow No. 5 Merch - PO Box 58 - Lucas, OH 44843

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