Ordering instructions:
Print this form, fill it out, include a check or credit card information, and mail to:
Image Sense
I800-A Prairie Rd.
Eugene, Or. 97402
Attn: Sonja
| Item | Price | Quantity | Total |
|---|---|---|---|
| "Dress" shirt | $28.00 | ||
| T-shirt | $12.00 | ||
| Polo shirt | $22.00 | ||
| Ball cap | $12.00 | ||
| Small name tag | $4.00 | ||
| Large name tag | $5.00 | ||
| Luggage tag | $4.00 | ||
| Subtotal | |||
| Shipping | $4.50 | ||
| Total | |||
Payment:
____Check
____Credit Card
- Card Type:
- Number:
- Expiration Date:
If tags were ordered:
- Name to appear on tag:
- Team Position/Title to appear on tag:
- Phone number to appear on luggage tag:
If shirts were ordered:
- Dress Shirt size:
- T-Shirt size: S, M, L, XL
- Polo shirt size: Men's M, L, XL, 2XL - Women's XS, S, M, L, XL
Ship to:
Name:
Address:
City, State, Zip:
Phone number: