THE INDEPENDENTS PRINTABLE MERCHANDISE ORDER FORM.

PLEASE PRINT THIS FORM OUT, FILL IT IN, AND SEND IT ALONG WITH THE CHECK OR MONEY ORDER.
CHECK OR MONEY ORDER ONLY PLEASE. WE CANNOT BE HELD RESPONSIBLE FOR CASH LOST IN THE MAIL.

IMPORTANT:
WHEN ORDERING SHIRTS, PLEASE SPECIFY SIZE!!!!
PLEASE PRINT CLEARLY!!!!
DELIVERY TIME IS 2-4 WEEKS. PLEASE ADD 1 WEEK IF PAYMENT IS WITH A PERSONAL CHECK.

MAIL TO:
WILL HARPER
P.O. BOX 4803
FLORENCE, SC 29502


NAME: _____________________________________________________________

SHIPPING ADDRESS: ________________________________________________

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CITY: _______________________________________________________________

STATE: _____________________________________________________________

COUNTRY: _________________________________________________________

EMAIL: _____________________________________________________________


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