RESIST T-Shirt Order Form
To order, please print out this page. Then fill out the order form below and return it to:
RESIST, Inc.
259 Elm Street
Somerville, MA 02144
| COLOR (BLACK
or MAROON) |
SLEEVE LENGTH
(SHORT, LONG, or BASEBALL) |
SIZE (S-XXL) |
QUANTITY |
PRICE PER SHIRT
(short sleeve, $14;
long or baseball sleeve, $16) |
TOTAL |
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| Name: |
________________________________________________________ |
| Address: |
________________________________________________________ |
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________________________________________________________ |
| City, State, Zip: |
________________________________________________________ |
Please make checks payable to Resist, or provide credit card information below.
| MasterCard/Visa #:_______________________________________________________ |
| Expiration: ___________ Signature:__________________________________________ |
Phone number: _________________________________________________________
(for order confirmation only) |
Copyright © RESIST, Inc., 2005