Coffeehouse Culture Cultcha Shop -- T-Shirt Order Form (PC)

CLOTHING
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T-SHIRT ORDER FORM
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All Shirts $ 19.95
Canada -- $ 29.95 ; UK -- £ 13.95; Netherlands -- fl. 40.00 (special Netherlands discount from fl. 50.50) ;
Australia -- $ 40.95
OTHER CURRENCIES ON REQUEST
MORE THAN ONE SIZE OR COLOUR REQUIRED IN ANY ONE DESIGN? CLICK HERE FOR MULTIPLES FORM

Mona T-shirt:
Quantity
Size
Colour

Flandrin T-shirt:
Quantity
Size
Colour

Bathers T-shirt:
Quantity
Size
Colour

Hands T-shirt:
Quantity
Size
Colour

Immediate payment is not yet available. Before payment can be made the cost of shipping
to your country must be calculated and added to your order. Goods are usually shipped by
postal airmail and the cost makes only a small addition to the total. Your order will be
acknowledged by e-mail and the full cost will be confirmed and various shipping, payment
and despatch options will be offered. At that stage, immediate payment is possible.
Ship to:

Name:
Street Address:

E-Mail:
City & State/Prov:

Phone: Area Code: Country:

Zip/Postal Code:

Various payment options available; Credit card payments thru Paypal
Shipping & handling costs will be added as appropriate.

Wholesalers: Let us know your Bulk Order needs.
Note: If you have ordered more than 12 shirts of one style, colour and size,
please indicate Quantity in box below. For more variable orders, please
go to our Multiples Order Form

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