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LE CHAUVINISTTM T-Shirt Order Form

Please complete form below before printing, then please print page and mail it with your check, cashier's check or money order to:

LE CHAUVINISTTM
7709 Fay Avenue
La Jolla, CA 92037

Please call (858-456-0117) or email us if you have questions on colors, styles or quantity orders, etc.

Click here to return to LE CHAUVINISTTM T-Shirts.


Enclosed is: Check Money Order Cashier's Check

First Name: MI: Last Name:

Shipping Information:
Street City State Zip Code

Daytime phone number:

Email:
Color Size Quantity Unit Price Amount
Subtotal
7.75% Sales Tax (California residents only)
Add Shipping and Handling Charge from table below.
Total
Quantity T-Shirts Ordered Shipping and Handling Charge*
1 $3.00
Add $1 for each additional LE CHAUVINISTTM T-Shirt ordered
Note: Please use a separate Order Form for each shipping address.
Please allow two to three weeks for delivery.
*For Continental US only. Call (858-456-0117) or email us for shipping costs
to Alaska, Hawaii and international destinations.