ATOC CYCLE ART - DECAL ORDER FORM

PLEASE MAIL THE FOLLOWING:

1. This order form - filled in with the requested information.

[You can either type in the information & then print out the completed form or print it out blank and fill in by hand.]

2. A self-addressed #10 standard letter envelope with proper postage pre-applied (SASE).

3. A check made out to "Mark Livingood".


Name
E-mail Address
Street
City
State Country Zip/Postal Code


ORDER QUANTITY (NOTE: 2 Item mininum; additional decals at $2.50/ea)

 STYLE     QUANTITY   PRICE EACH   TOTAL EACH STYLE
 TANDEM TEAM     x   $2.50 =
 SOLO CYCLIST     x   $2.50 =  
 'BENT CYCLIST     x   $2.50 =  
   TOTAL COST  $5.00 Mininum

Do not send cash. Send personal check or money order made payable to 'Mark Livingood' in US funds.


ORDERING INSTRUCTIONS

Print out and mail this form, along with your payment and a Self Addressed, Stamped Envelope (#10, 4" x 9.5") to:

Mark Livingood
3836 Westwick Way
Kennesaw, Georgia 30152-3194
 
Your decals will be returned to you in your SASE.