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Paypal Order Form (self-totaling)
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*
Products for Sale
ItemSizeQtyTotal
Girly Fit T-Shirt Black
Unisex T-Shirt - Gray
Unisex T-Shirt - Black
JTB Car Magnet
JTB Travel Mug
Shipping & Handling
Grand Total:
Billing Information
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:Apt. or Suite No.
City:*
State:*
Zip Code:*
Phone:
Shipping Information
Different than billing info
Yes No 
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Order Information
Order Number:
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