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T-Shirt Order Form (£ Pound Sterling)
Create Your Own Form
using this Template
Want the ability to collect information with an
online form that looks like this one?
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
T-Shirt Selection
Description
Selection
Qty
Total
T-Shirt 1:
Choose T-Shirt
Small £10.99
Medium £12.99
Large £14.99
X-Large £15.99
XX-Large £15.99
*Color:
Black
White
Blue
Red
T-Shirt 2:
Choose T-Shirt
Small £10.99
Medium £12.99
Large £14.99
X-Large £15.99
XX-Large £15.99
*Color:
Black
White
Blue
Red
Polo-Shirt:
Choose Polo-Shirt
Small £14.99
Medium £16.99
Large £18.99
X-Large £20.99
XX-Large £20.99
*Color:
Black
White
Blue
Red
Sweat-Shirt:
Choose Sweat-Shirt
Small £24.99
Medium £26.99
Large £28.99
X-Large £30.99
XX-Large £30.99
*Color:
Black
White
Blue
Red
Sub-Total:
Shipping & Handling:
Choose Shipping Handling
Standard Shipping 1 Item £6.50
Standard Shipping 2 - 5 Items £8.50
Standard Shipping 6 - 10 Items £12.50
Overnight Shipping 1 Item £15.50
Overnight Shipping 2 - 5 Items £21.50
Overnight Shipping 6 - 10 Items £27.50
Grand Total:
Billing Information
*First Name:
Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:
Address Line 2:
Apt. or Suite No.
*City:
*Province:
*Postal Code:
Phone:
Shipping Information
*Same as billing info
Yes
No
*First Name:
Middle Initial:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*Province:
*Postal Code:
Payment Information
*Payment Type
Credit Card
Cash on Delivery (C.O.D.)
*Card Number:
No dashes or spaces please
*Expiration Month:
Month
January
February
March
April
May
June
July
August
September
October
November
December
From your card
*Expiration Year:
Year
2009
2010
2011
2012
2013
2014
2015
2016
From your card
*Card Brand:
Choose a Card
American Express
Discover
Master Card
Visa
Reset
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