Order Qty In Eaches	Shirt Code	Shirt Logo Type	Indicate Size S,M,L,XL	Color	Cost per shirt	Extend
	151			BLACK ONLY	$18.00
	275			BLACK ONLY	$18.00
					TOTAL>>>

2. PLEASE FILL IN THE FOLLOWING MAILING INFORMATION

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country	USA ONLY
Work Phone
Home Phone
E-mail

3. Please Print out form.
4. Make checks payable to:
   MAILMATE USA  
5. Mail to:
   MAILMATE USA  
   3422 A Hinahina Street
   Honolulu, Hawaii 96816
   Allow 3 weeks for Delivery
   Contact Admin  EMAIL