print to order: PEACE PERSONIFIED and POLITICAL STATEMENT PATCHES by C. Drew
support PROGRESSIVE IDEAS and WEARABLE COMMUNITY ART expressions
NAME ___________________________________ DATE___________________
ADDRESS ____________________________________ APT # ____________________
CITY _____________________________ STATE _____________ POST# _____________
COUNTRY ___________________________ PHONE _____________________________
E-MAIL 1 _______________________________ E-MAIL 2 _________________________| Design # | Quantity | Design # | Quantity | Design # | Quantity |
| 1 ________ | ________ | 2 ________ | ________ | 3 ________ | ________ |
| 4 ________ | ________ | 5 ________ | ________ | 6 ________ | ________ |
| 7 ________ | ________ | 8 ________ | ________ | 9 ________ | ________ |
| 10_______ | ________ | 11________ | ________ | 12________ | ________ |
| 13 ______ |
_______ | TOTAL | $ _________ |