By submitting this order, I understand 6% Sales Tax and Shipping costs will be added to the total item cost and deducted from my next scheduled pay. Please be advised no refunds or exchanges may be submitted for ordering the wrong item/size.  Thank you.

THE BELOW IS AN EXAMPLE.  PLEASE OUT THE ORDER FORM ACCORDINGLY.  

Item NO:     Description:                 QTY:      Price:    Total:

10288          Shocktop Hat: Orange      2         $15.98     $31.96

 

Full Name:*
Last 4 Digits of SSN:*
Item NO/Description/QTY/Price/Total: (1)
Item NO/Description/QTY/Price/Total: (2)
Item NO/Description/QTY/Price/Total: (3)
Please add any special instructions or comments here.

 

Only 3 items can be ordered at a time. Please fill out another order form if you would like more then 3 items.

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