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T-SHIRT ORDER FORM

Oklahoma Blues Society T-Shirt
To order print this form and send the cost of the T-Shirt + $2 shipping for each to:

Oklahoma Blues Society
P.O. Box 76176
Oklahoma City, OK 73147-2176
CHECKS OR MONEY ORDERS ONLY. PLEASE DO NOT MAIL CASH.

Name: _________________________________________________________________

Address: _______________________________________________________________

City, State, Zip: _________________________________________________________

Phone: ______________________________________________

Quantity_________________                T-Shirt Number___________________

Price___________________plus $2 shipping

If you can not print this form, then send your shipping information and a check for the total amount
to the address above.

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