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D'VA
POLOS

"B"eing "I"n "T"otal "C"ontrol of "H"erself

"B"eing "I"n "T"otal "C"ontrol of "H"erself.

POlO's

by

D'Va Chinese Cresteds

Order by mail:

 

 

 

Step 1 Print this page

 Step 2 Fill in the form

 

 

Step 3 Mail form with check or money order to:  

D'Va Chinese Cresteds - 2910 W 5th Street - Grand Island, NE  68803

 

 


Name___________________________________

Email___________________________________

Address_________________________________

City/State/Zip____________________________

Shirt Size:

LOGO

Payment Type:

 

 

 

CHECK

Money Order

 

 

 

 

Name Request:


Signature:_____________________________

Number of Shirts.__________________

Size_____________________________

Please send me the following products:

Check all
that apply

Product Name

 

Our Price

S & H
(per Shirt)

Total


Diva Shirt Small-Medium-Large

 

$29.95

$5.00

$34.95         


Diva Shirt XLarge

 

$32.95

$5.00

$37.95         

Diva Shirt XLarge +

 

$37.95

$5.00

$42.95

Quantity:   additional 2.50 Shipping for each additional polo

Total Price__________________

 

dvapatch

Email D'Va Chinese Cresteds