PRINT AND MAIL TO:

 

OR FAX TO:
(Credit Card payment only)

Cathy's T-Shirts and Bumper Stickers
2776 South Arlington Mill Drive, #123
Arlington, Virginia 22206

703-931-0121

 

Order Form for www.RepublicanGifts.com      Call 1-800-799-4GOP for any questions
Item/Description
Size (if applicable)
Color/Pattern
(if applicable)
Unit Cost
Quantity
Extended Cost
           
           
           
           
           
           
           
           
SubTotal
 
Virginia Residents: Add 5% Sales Tax
 
Shipping & Handling Cost from Table Below*
 
Total
 

Subtotal
Shipping & Handling Cost
$10 and Under $2.75
$11-20 $3.95
$21-40 $4.95
$41-60 $5.25
$61-100 $7.00
over $100 call (800) 799-4GOP

    

    Shipping typically USPS First Class or Priority Mail.

    For expedited shipping arrangements call (800) 799-4GOP.

 

 

Date Ordered: ____________________________

Bill To:      

Name _________________________________________

Address _______________________________________

City ___________________________________________

State _________________ Zip _____________________

Shipping Address:      

Name _________________________________________

Address _______________________________________

City ___________________________________________

State _________________ Zip _____________________

Daytime Phone (_____)   _____________   Evening Phone (_____)   _____________  Cell Phone (_____)   _____________ 

Payment Options (Circle One):        
Personal or Corporate Check

Credit Card # ___________________________________

Name as it appears
on Credit Card __________________________________

Expiration Date ______________

Make Checks Payable and Mail Order Form to:

Cathy's T-Shirts and Bumper Stickers
2776 South Arlington Mill Drive, #123
Arlington, VA 22206

Or Fax to: 703-931-0121 (Credit Card payment only)