Name ______________________________________________
Address_____________________________________________
City State and Zip ____________________________________
Number of shirts___________
Sizes, SM___Med_____Large____XL______(XXL______$2 more)
Ink Colors Black____ Blue____Red____
Check or Money Order Only ( U.S.Dollars only)
Mail to:
Silent Connection
7234 Shady Lane
Fort Wayne, IN 46835 Amount Enclosed_______