AttitudeTees.com Fax Order Form
Complete this form online, print it, sign it and fax it to: (414) 483-1930

Billing Address -
Must match the address on your credit card account.
Name:
Address:
City:State:Zip Code:

Shipping Address - Fill out this section only if different than the Billing Address.
Name:
Address:
City:State:Zip Code:

Email address:

Item Number
Size
Quantity
Description
Price
Shipping and Handling
Sales Tax (Wisconsin residents add 5.6%)
TOTAL

Credit Card Number:
Expiration Date: Card Type:
Person's Name on Credit Card (not bank name):
Signature of cardholder (required): X

IMPORTANT: YOU MUST SIGN THE FORM ABOVE BEFORE YOU FAX IT.
IF YOU DO NOT SIGN THE FORM YOUR ORDER WILL NOT BE PROCESSED!

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