Please mail this form to

P.O.W. NETWORK
Box 68
Skidmore, MO 64487-0068

PLEASE PRINT CLEARLY
THIS IS YOUR
SHIPPING LABEL:

NAME _________________________________________

ADDRESS______________________________________

CITY _____________________STATE _____ ZIP________ 

P.O.W. NETWORK  T-SHIRT

Full color front logo on white 50/50 Hanes Heavyweight

Size
S, M, L, XL, 2X, 3X 
Quantity Price Each Total
       
       
       
       
       
       
       
       
       

INCLUDES SHIPPING AND HANDLING

  FIRST shirt, 18.00 
  Each additional shirt 17.00
  2X and 3X please add 2.00 each
Foreign orders - additional shipping rates:
Surface mail: $9.00   *   Air Mail: $18.00

Money Orders must be payable in U.S. Funds
Prices subject to change without notice.

First Shirt 

18.00

Additional Shirts  _________  @$17.00  
Number of 2X or 3X shirts ______ @2.00 more .
Total Due  

Make checks payable to: P.O.W. NETWORK


______Discover   ___ Visa   ___ MasterCard

Card# ___________________________________________ Exp: _____

Signature___________________________________________________

Home phone ________________________________________________

To order by phone, call: 1-660-928-3304       Hours: 10:00am to 6:00pm Mon-Fri