Please Print this
Form out and Send to:
Dirty
Old Shirt
Attn:
Orders
**Make check/money
order payable to D.O.S. Inc.
Name:_____________________________________
Address:__________________________________
___________________________________________
City:
Phone:____________________________________
Email
Address:____________________________
(used to contact in
case of a question concerning order)
(Auction winners
paying by check/money order, put Auction # in Item # column.)
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Item Name |
Gender |
Size |
Color |
Qty |
Price Each |
Total |
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SUBTOTAL |
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Shipping &
Handling* |
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S & H* |
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Total Price |
Shipping Charges |
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TOTAL |
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$0.01 - $9.99 |
$4.95
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$10.00 - $49.99 |
$7.95
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$50.00 - $99.99 |
$10.95
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$100.00 - $199.99 |
$13.95
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$200.00 + |
Free |
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(All Mail Orders will be shipped US Priority Mail)
-If you need it shipped faster, contact D.O.S. at contactus@dirtyoldshirt.com before you send order form.