KAPPA KAPPA PSI/TAU BETA SIGMA APPAREL ORDER FORM

NAME _______________________________________________________ PHONE NUMBER ___________________

SHIPPING ADDRESS _____________________________________________________________________________

CITY/STATE/ZIP  ________________________________________________________________________________

CIRCLE: MASTER CARD  VISA DISCOVER #_________________________________ E XPIRATION_____________

NAME (AS  APPEARS ON CREDIT CARD) _________________________________________________________________

 SIGNATURE____________________________________________________________________________________

CIRCLE ONE:                     KAPPA KAPPA PSI                           TAU BETA SIGMA

ITEM

COLOR

DECORATION STYLE

SIZE

QUANTITY

COST EACH

TOTAL COST

             SHIPPING CHARGES:  FIRST ITEM - $ 5.00  ADDITIONAL ITEMS: $1.00 PER ITEM                 ______________

                                   ADD $ 2.00 PER SHIRT FOR XXL   ADD $ 3.00 PER SHIRT FOR XXXL                   ______________

                                                                                                                                            TOTAL                               ______________

FEAR NOTHING MUSIC GEAR * 9550 GROVE ROAD SHIPPING * CORDOVA, TN 38016

1-800-361-GEAR (4327)  *   FAX: 901-937-8652 * www.fearnothingmusicgear.com