Print and complete this T-shirt order form and include it when you send your check or money order for $24.95 (per t-shirt) made payable to The Duchess Fund to:
The Duchess Fund
408 - 14th Street S.W.
Ruskin, FL 33570
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| Quantity/Size: Medium __________ Large __________ Extra-Large __________ |
| Name: _________________________________________________________ |
| Address: _______________________________________________________ |
| City, State, Zip Code: ____________________________________________ |
| E-mail Address: __________________________________________________ |
| Phone: _________________________________________________________ |
| Sorry, no credit card orders |
| Florida Residents add 6.75% Sales Tax - $1.68, total $26.63 (per shirt) |
| Return to Duchess Fund Shopping |