Capt'n Tom's Order Form

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CAPT'N TOM'S ARTWORKS
111 North Stuart Street
Baltimore, Maryland,USA 21221

CAPT'N TOM'S ARTWORKS T-SHIRT

100% Cotton Heavyweight Beefy-T

Please Print:

Name ____________________________________________________________

Street ____________________________________________________________

City, State/Province Zipcode _________________________________________

Phone Number ____________________________________________________

Email Address ____________________________________________________

QUANTITY ________ SIZE (S,M,L,XL,XXL) ________

Order Extras.... Capt'n Tom's T-Shirts Make Great Gifts!!!

QUANTITY ________ SIZE (S,M,L,XL,XXL) ________

QUANTITY ________ SIZE (S,M,L,XL,XXL) ________

$18.00 EACH... U.S. Dollars Only

ADD $1.00 FOR XXL

Shipping anywhere in the world included

TOTAL ENCLOSED: ____________________________

Payable To: Capt'n Tom's Artworks

THANK YOU FOR YOUR ORDER!!!... Capt'n Tom