+-----+-------------------------------------------------------+------+-------+
| | |PRICE | |
| QTY | DESCRIPTION (INCLUDE SIZE AND COLOR OF T-SHIRTS) |EACH |TOTAL |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
| | | | |
+-----+-------------------------------------------------------+------+-------+
TOTAL | |
+-------+
NAME_____________________________________________ DATE____________________
ADDRESS___________________________________________________________________
CITY______________________________________________STATE____ZIP____________
PHONE ( )_____________________________________AFRMA MEMBER? Y N
E-MAIL____________________________________________________________________
|
Make Money Order or Cashier’s Check out to: Mail this form with payment to: (No personal checks) |
AFRMA AFRMA 9230 64th Street Riverside, CA 92509-5924 |