GLOBAL SHOT DOCTOR
APPAREL ORDER FORM
Global Shot Doctor T-Shirts
Number of T-Shirts
SMALL @ $12 each
MEDIUM @ $12 each
LARGE @ $12 each
XL @ $12 each
XXL @ $12 each

Personal Information
Your Name:
Shipping Address:
City:
State:
Zip Code:
Daytime Phone:
Email Address:

Shipping
Order Total
Standard
3-Day
2-Day
Next Day
$0 - $12
$4
$8
$12
$20
$12 - $39.99
$8
$12
$20
$30
$40 - $79.99
$12
$20
$30
$40
$80 - $99.99
$20
$30
$40
$50
$100 +
$30
$40
$50
$60

Additional Charges
International Addresses, APO/FPO, Shipping to Alaska and Hawaii:
Additional 35% of order total

Form of Payment
Visa
MasterCard
Discover
American Express

Credit Card #
Expiration Date

Allow 3-4 weeks for delivery.
Please do not forget to include complete
payment information.

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