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          Below is the Lucky Thirteen Motorcycle Club Support Team Order Form simply fill
     in the form blanks and use the "Print Order Form" button at the bottom of the page.
          Be sure to enclose check or money order for the amount of your order, all orders
     are shipped via USPS Media Mail which may take up to two weeks from the day they
     are shipped to arrive. All orders paid by check will be shipped as soon as the check
     clears. Order Forms should be mailed to the address on the bottom of Order form.
Order Form
Please note: Checking merchandise from the carrier is the buyers responsibility.
We are not responsible for damage during shipment.
PA residents subject to 6% sales tax.

Name * :

Company :

Address * :

City * :

State * :
    Postal Code * :

Country * :

    Please check one*    Business     Residence

Daytime Phone* :

(ex 412-444-7890)    Fax :

E-mail * :


Item #
Description

Quant.  

Price

1. $
2. $
3. $
4. $
5. $
6. $
7. $
8. $
   Shipping/Handling is $5.00 for the first shirt.
   Plus $2.00 for each additional shirt in order.
Sub-Total:  
$
Shipping
$
   Make Check or Money Orders Payable to:
        Lucky Thirteen Motorcycle Club    

Total:
$
Mail to: Lucky Thirteen MC
             PO Box 10426
             Erie, Pa  16514

         

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