Please Print & Fill Out Form and Return with Check / Money Order Made out to Dennis Erb to the Following Address:
Dennis Erb
c/o Web Apparel Sales
2120 Elgin Road Route 25
Carpentersville, IL 60110
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| White "How Do You Like Me Now" 2008 Erb Short Sleeve Shirt | |||
Size 10/12 |
$15.00 | __________ | __________ |
Size Small |
$20.00 | __________ | __________ |
Size Medium |
$20.00 | __________ | __________ |
Size Large |
$20.00 | __________ | __________ |
Size XL |
$20.00 | __________ | __________ |
Size 2XL |
$22.00 | __________ | __________ |
Size 3XL |
$23.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| White "How Do You Like Me Now" 2008 Erb Sweatshirt | |||
Size Medium |
$30.00 | __________ | __________ |
Size Large |
$30.00 | __________ | __________ |
Size XL |
$30.00 | __________ | __________ |
Size 2XL |
$30.00 | __________ | __________ |
| Please Add $5.00 S&H to your Amount Totals | $5.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |