Order
Form
Mt. Rushmore T-Shirts & Co.
P.O. Box 645, Keystone Mall #7
Keystone, SD 57751
1-866-654-4528
605-666-4758
FAX 605-721-3925
orders@mtrushmoretshirts.com
Print out order form and Mail it to us at the
address above.
| ORDER FROM: | |
| Name: | ___________________________________________________________ |
| Address: | ___________________________________________________________ |
| City: | ______________________ State: ________ Zip Code: ______________ | ||||
| Phone #: | (______)______-____________________ Ext: _____________________ | ||||
| SHIP TO: (If different than order information) | |
| Name: | ___________________________________________________________ |
| Address: | ___________________________________________________________ |
| City: | ____________________ State: ________ Zip Code: ________________ | ||||
|
Product
#
|
Qty.
|
Size
|
Color
|
Description
|
Price Each
|
Total Price
|
||
| Total Merchandise | ||
| Normal Shipping -- add $4.95 Prints 11"x 14" -- add $7.95 |
||
| Special Shipping - Please Call | ||
| Total |
| Please charge my: |
| Number: | ______________________________ Expiration Date: __________ |
| Name on card: | ______________________________________________________ |
| Signature: | ______________________________________________________ |
|
OR: ( ) Check or Money Order enclosed made payable to: Mt.
Rushmore T-Shirts & Co.
Ken &
Kathy Schoenhard |