PK Wear Order Form - PKWear@nosliwland.net - http://www.churchkey.net
 ________________________________________________________________________
| (please print)                                                         |   Please mail this completed
|                                                                        |   order form, along with a check 
| Name: ________________________________________________________         |   or money order, made out to 
|                                                                        |   JON WILSON, to:
| Address: _____________________________________________________         |
|                                                                        |         Jon Wilson - PK
| City/State/Zip: ______________________________________________         |         871 Westmoreland Avenue
|                                                                        |         Syracuse, NY 13210
| e-mail: ______________________________________________________         |
|________________________________________________________________________|   Allow 4-6 weeks for delivery

 ________________________________________________________________________    ____________________________
| size | quantity | description                    | price ea. |  total  |  |    merchandise prices      |
|______|__________|________________________________|___________|_________|  |____________________________|
|  NA  |     2    | (Sample) Baseball cap          |    $17    |   $34   |  | hats................$17.00 |
|______|__________|________________________________|___________|_________|  |____________________________|
|      |          |                                |           |         |
|______|__________|________________________________|___________|_________|
|      |          |                                |           |         |
|______|__________|________________________________|___________|_________|
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|______|__________|________________________________|___________|_________|
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|______|__________|________________________________|___________|_________|
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|______|__________|________________________________|___________|_________|
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|______|__________|________________________________|___________|_________|
|      |          |                                |           |         |   ________________________
|______|__________|________________________________|___________|_________|  |  shipping & handling   |
|      |          |                                |           |         |  |________________________|
|______|__________|________________________________|___________|_________|  |   1-3 items.....$4.00  |
|      |          |                                |           |         |  |   4-5 items.....$5.00  |
|______|__________|________________________________|___________|_________|  |   6-7 items.....$6.00  |
|      |          |                                |           |         |  |   8-9 items.....$7.00  |
|______|__________|________________________________|___________|_________|  |   over 9.....e-mail us |
|      |          |                                |           |         |  |________________________|
|______|__________|________________________________|___________|_________|
                                                   | sub-total |         |
                                                   |___________|_________|
                                                   | ship/hand |         |        
                                                   |___________|_________|
                                                   |ORDER TOTAL|         |
                                                   |___________|_________|