MAIL ORDER FORM

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MAIL ORDER FORM:  Print, fill out the information and send to: Frank Hazen 2268 Polo Park Dr. Dayton, OH  45439 Please make Money Orders out to " Frank Hazen" SORRY, NO CHECKS....CHECKS DELAY ORDERS 7-10 DAYS TO CLEAR BANK NAME_______________________________________EMAIL_________________________________________ ADDRESS________________________________________________PHONE (optional)_____________________ CITY________________________________________STATE_________ZIP_____________________________ ITEM 1.....circle t-shirt or jacket color & size or other T-SHIRT   (white)...(black) ......DENIM JACKET.....LEATHER JACKET.......OTHER_____________________ SIZE.......Sm   Med   Lg   XL   XXL   XXXL             OPTIONAL SIZE________________________________          ITEM NAME - # _____________________________________________________________________________ ADDITIONAL INSTRUCTIONS: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ITEM 2.....circle t-shirt or jacket  color & size or other T-SHIRT    (white)...(black)......DENIM JACKET.....LEATHER JACKET.....OTHER______________________ SIZE.......Sm   Med   Lg   XL   XXL   XXXL             OPTIONAL SIZE________________________________         ITEM NAME -#______________________________________________________________________________ ADDITIONAL INSTRUCTIONS: __________________________________________________________________________________________ SHIPPING: *** PLEASE ADD***   T-SHIRTS_____________US- $5______INTERNATIONAL- $10              * Shipped in 1-3 business days DENIM JACKETS_______US- $10_____INTERNATIONAL- $15              * Leather - aprox. 7 days LEATHER JACKETS____US- $15_____INTERNATIONAL- $25 MONEY ORDER AMOUNT  $________  DID YOU ADD SHIPPING?   Thanks.... SIGNATURE____________________________________________