clownz.com t-shirt order form

First Name:	_____________________________________________
Last Name:	_____________________________________________
Street Address:	_____________________________________________
	_____________________________________________
City:	_____________________________________________
State/Province:	_____________________________________________
Zip/Post Code:	_____________________________________________
Country:	_____________________________________________
email address:	_____________________________________________

 

Three different statements, one design: $16 shipped. Can't sleep... clowns will eat me. Beware the grease-painted ones. Fuck off, you red-nosed bastard. _____ Large _____ Large _____ Large _____ X-Large _____ X-Large _____ X-Large

 

The original : 'clowns suck' White: 16.00 shipped Black: 16.50 shipped _____ Large _____ Large _____ X-Large _____ X-Large

Please make check payable to:

LoungeBait

Please send this completed form along with a check to:

Jeremy Peyer
2808 West 71st. St.
Richfield, MN 55423