DesigNation® T-Shirts Quantity: Black ( ) White ( )

DesigNation® Caps Quantity: Black ( ) White ( )

Total Order Amount: $__________________

ADDRESS:

Name_________________________________________________________________
Street_____________________ City________________ State________ Zip________
Email______________________________
Country____________________________

PAYMENT

Check or Money Order

Mail Your Order to:
DesigNation
300 M Street, SW Suite N110
Washington, DC 20024

Visa ( ) MasterCard ( ) Discover ( ) American Express ( ) (check one)

Account Number_____________________________Expiration Date__________
Cardholder Name(Please Print)________________________________________
Authorized Signature________________________________________________

Please Fax or Mail Your Order Form to:

DesigNation
300 M Street, SW Suite N110
Washington, DC 20024
Fax: 202-488-3838 Phone: 202-659-3918

FOREIGN ORDERS MUST BE PAID BY INTERNATIONAL MONEY ORDER OR INTERNATIONAL BANK DRAFT IN U.S. DOLLAR AMOUNT EQUIVALENT OR THEY WILL BE RETURNED

ALL CREDIT CARD ORDERS MUST BE MADE BY SIGNED ORDER FORM FAXED OR MAILED TO OUR OFFICES. THIS IS FOR YOUR SECURITY.

ALLOW 2 -3 WEEKS FOR DELIVERY. SATISFACTION GUARANTEED OR YOUR PAYMENT WILL BE REFUNDED INCLUDING SHIPPING AND HANDLING.