Mail to: LawWoman Phone: (718) 591-6111 P.O. Box 531 Fax: (718) 820-0857 Flushing, New York 11367 lawwoman@topcops.com _________________________________________________________________________ Caps Color: Black Navy Blue Number Ordered _____ ________ ______ at Member Price ($12) $_______________ ______ at Non Member Price ($15) $_______________ Caps Total $________________ __________________________________________________________________________ Tees Color: Black Navy Blue Size: Number Ordered Number Ordered Sm 34 - 36 ___________ _____________ Med 36 - 38 ___________ _____________ Lg 38 - 40 ___________ _____________ X-Lg 44 - 46 ___________ _____________ XX-Lg 48 - 52 ___________ _____________ ______ at Member Price ($15) $______________ ______ at Non Member Price ($17) $____________ XX-size______ at Member Price ($17) $_____________ XX-size______ at Non Member Price ($19) $___________ Shirts Total $_____________ ________________________________________________________________________ | Shipping and Handling Charges: | Sub total of caps and shirts $_____________ $4.95 - United States | $7.95 - Canada | Shipping and Handling $_____________ $10.95 - International | __________________________________| Total Enclosed $_____________ **Payment must be made in the form $US dollars and may be in check or money order. Name:_______________________________________________ Address:_____________________________________________ City:_________________________________________________ State:_______________________ Zip Code:________________