Print this page and send us your info, plus $20 to cover the cost of the shirt and shipping and handling. ($25 for long-sleeve shirts)

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___ YES! I want to buy a POWER t-shirt .

Name:_______________________________________

Phone Number:_________________________________

Address:______________________________________

City:__________________ State: ______ Zip:________

Email:________________________________________

T-SHIRT Color and Size:_________________________

Colors: ___Black or ___Orange

Sizes available: ___SM, ___MED, ___LRG, ___XL, ___XXL

Styles: ___short-sleeve, ___long-sleeve, ___baby-tee.

**please include your phone number and email so that we can contact you if the size or style you request is not available.