| Sweatshirt Slouch Bag Order Form and Instructions |
| Name |
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| Street Address |
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| City/State/Zip |
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| Home Phone |
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| Email address |
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| How did you hear about us? |
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| Number of bags ordered ($40 per bag) |
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| 6% Sales Tax (PA orders only) |
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| Shipping |
$4.50 |
| Total Amount Enclosed |


| Baby |