NationaliTees Order Form Page Contents

NationaliTEES Co. Inc.
P.O. Box 342 ~ Syracuse, Indiana 46567
E-Mail: fibrotees@yahoo.com

Purchase Order:
Fibro Tees
NationaliTees Bumper Sticker

Fibro Tees / Chronic Fatigue Tee

Sizes Available:
Adult Small-Extra Large
2X
3X
4X

Price:
$15.00
$15.50
$16.00
$17.00

SHIPPING & HANDLING:

$5.50 First Class ( includes confirmation of delivery )

$.75 for each additional tee ordered after the first

Orders with 5 or more tees will have lower shipping &
handling charges. Please E-Mail us for more information!

NationaliTees Bumper Sticker:
$3.50 each
Includes Shipping & Handling

Please enter all information onto the order form, then print this
page and mail the form and your check or money order
to the address at the top of the page.

- Or -

Enter all information onto the order form, print the page for
 your records, then click the "Submit" button below, and your 
order will be processed.  Your tees will be promptly 
shipped when we receive your check or money order, mailed 
to the address
at the top of the page.

** International Residents **

Please mail a post office money order in U.S. Funds.  There
is no extra cost for shipping and handling!

Ship-To Name
Street Address
City
State
Zip
Telephone No.	()-
E-Mail Address:

*100% Cotton Tees available in Large and X-Large Only
While Supplies Last!

Quantity	Tees: Fibro Fog/Dragon/Chronic Fatigue	Size	50/50 or 100% Cotton*	Total






	<<<Enter Bumper Sticker Quantity Enter Bumper Sticker Total>>>

Subtotal
Shipping&Handling
IN Residents - add 6%
BALANCE DUE

How did you hear about us?
Please take a moment and choose from the following - we really appreciate it!

Please use the space below to provide additional information, or comments. We appreciate your business!

Donations from our sales are made to:
The American Fibromyalgia Syndrome Association (AFSA)