Submitting this order form involves the following steps:

1. Complete this form, choose product.
2. Review and comfirm your total.
3. Complete the payment information with the PayPal billing service.

Any order completed on the weekends will be processed Monday.

Please allow up to 1-2 weeks for processing and shipping.

Shipping Address

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* email:

Boob Tube

To order, type in your desired quantity into the box of the product you need.

Small

	3" x 6" $5.50 each
	3" x 12" $6.00 each

Medium

	4" x 6" $6.50 each
	4" x 12" $7.00 each

Large

	5" x 6" $7.50 each
	5" x 12" $8.00 each

X-Large

	6" x 6" $8.50 each
	6" x 12" $9.00 each

XXL

	7" x 6" $9.50 each
	7" x 12" $10.00 each

* A $4.00 shipping and Handling fee is required on all purchases.

Shipping and Handling

Billing Information

Our orders are processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.

For questions or problems with checkout please email us at fivehearts5@yahoo.com

* Indicates Response Required