*PLEASE PRINT AND FILL OUT THEN MAIL TO THE ADDRESS BELOW* FATHEAD Products Red Shirts are $10 Yellow Shirts are $10 New Spring Shirts are $10 for the blue short sleeve New Spring Shirts are $12 for the white long sleeve Please add $3 for shipping Personal Information ______________________________________________________ Last Name First Name ______________________________________________________ Address ______________________________________________________ City State Zip Code ________________________________ Phone # ________________________________ Email Address Notes / Comments / School ________________________________________________________ ________________________________________________________ ________________________________________________________ Order Information ________________________________________________________ Date Method of Payment Description / Color Size Qty Price 1_____________________________________/_____/__________ 2_____________________________________/_____/__________ 3_____________________________________/_____/__________ 4_____________________________________/_____/__________ 5_____________________________________/_____/__________ Shipping ________ Total ________ We only exept cash or checks filled out to Eric Lucking or Justin Wadlinger FATHEAD www.fatheadtshirts.arepopular.com 7 Pheasant Dr. fatheadmail@aol.com Hershey PA 17033