TDC Merchandise Order Form

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Thodos Dance Chicago
Merchandise


Sweatpanrl's Tank $15 Boys' Tank $15 Lycra T-Shirts $18 Cotton T-Shirts $12	Hats $12 Commemorative Pins $10 Handcrafted Coasters $5 Shipping Per Sweatpant $5 Shipping Per Other Merchandise $3

Promotional Code
$ Sweatpants Total
$ Girls' Tank Total
$ Boys' Tank Total
$ Lycra T-Shirts Total
$ Cotton T-Shirts Total
$ Hats Total
$ Commemorative Pins Total
$ Shipping Total
$ TOTAL
Please reiterate what merchandise (and quantity per each) you would like to order here:

Cardholder Information:

Name:

Street Address:

City: State: Zip:

Phone (Day):

Phone (Evening):

Email Address:

Credit Card Information:

MasterCard, Visa, American Express and Discover accepted:

Name on Card:

Account Number:

Expiration Date (mm/yy):

CVV (3 or 4 digits):

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