Order Form

Thank you for your order. Please fill in the Order Form below and print it. Please fax (207.795.0295 * NEW) or mail this completed form to the address below. We accept Visa, Mastercard, American Express, personal checks, or money orders.

Items in bold must be filled in in order for your order to be filled. Please allow

Your Name:
Shipping Address:
City:
State/Prov:
Zip Code:
Phone Number:
Email Address:

T-Shirt Small thru XLarge $14.00 - 2XLarge & 3XLarge $16.00
All Magnets are $2.00 each - "On Sale" 7 for $5.00
Clown Bow Ties are $22 each (up to 16.5" Neck)
Long Clown Bow Tie $24.00 (up to 22" Neck)
Clown Neck Ties are $14.00 each
Tall Man Clown Ties $18.00 each
Cummerbund Regular (up to 41" waist) $24.00 each
X-Long Cummerbund (up to 52" waist) $28.00 each
Vest - Small thru Large $34.00, XLarge $39.00, 2Xlarge $42.00, 3XLarge $48.00, 4/5XLarge $59.00
Hawaiian Shirts - Small thru Large $45.00, XLarge $56.00, 2Xlarge $58.00, 3XLarge $60.00, 4/5XLarge $65.00
Scrubs - Small thru Large $35.00, XLarge $46.00, 2Xlarge $48.00, 3XLarge $50.00, 4/5XLarge $55.00

NOTE: All vest come with buttons; Special pricing is available, please inquire.

Item#	DESCRIPTION	SIZE	QTY	PRICE	TOTAL





Merchandise Total
Maine residents add 5.5% sales tax
Shipping and Handling up to $25 = $4.00, $25.01 up to $75.00 = $6.00, $75.01 up to 125.00 = $8.00 $125.01 up to 250.00 = $10.00 Canadian orders add $1.50
TOTAL AMOUNT DUE (Merchandise + Tax + Shipping)
PAYMENT METHOD Visa MasterCard American Express Check Enclosed Purchase Order Card Number Exp. Signature________________________ Purchase Order Number (Please attach copy) __________________________________________________

Please send your payment information along with this completed order form to:

NVRGVUP c/o DeSigns by Skip
41 Chestnut Street
Lewiston, Maine 04240

Philip D. Giorgetti
President
1-877-NVR-GVUP (687.4887)

http://www.designsbyskip.com

1-800-636-0457 (DeSigns by Skip)
207-795.0295 * NEW Fax