Marathon Pages

Clappers International

lister dot ultrakohl dot com
2103 North Decatur Road Suite 224
Decatur Georgia 30033-5305
Phone: 404-686-2926
Fax: 404-686-4978

Sold To: Ship To:
Name: Name:
Company: Company:
Address: Address:
   
   
City and State: City and State:
Zip / Postal Code: Zip / Postal Code:
Country: Country:
Telephone: Telephone:
Email: Email:

Quantity

Description

Size

Unit Price

Total Amount

  Marathon T-Shirt (Fat) XL $15.00 $
  Marathon T-Shirt (Fatter) XXL $15.00 $
Sales Tax
(GA Residents 6%)
$
Shipping and Handling $ 3 . 50
Grand Total $
Complete the order form.
Add sales tax where applicable.
Make cashiers check or money order payable to
ULTRAKOHL (US funds only).
Mail to : ULTRAKOHL
2103 North Decatur Road Suite 224
Decatur Georgia 30033-5305
USA

*[Either print this order form using your browser or download/view/print order form.pdf (Adobe Acrobat)]
Marathon Pages