BlackWest Presentations, Inc. Order Form

BlackWest Presentations, Inc.

Order Form

BlackWest Presentations, Inc.

23900 S. Airport Road

Harrionville, MO 64701

Phone & FAX (816) 869-3177

Payment by Cashiers Check or Money Order Only

You May Print this page or submit the following information:

Ship To Name:___________________________

Address:________________________________

City/State/Zip:___________________________

Phone:__________________________________

Description	Quantity	Size	Price	Total
Cowboys of Color T-Shirt		S,M,L,XL	$15.00 each
Cowboys of Color Game		Boxed	$25.00 each
Cowboys of Color Prepaid Telephone Card		Credit Card	$10.00 each
Sub Total for Products
Shipping Charge $5.00 USA $8.00 Canada $10.00 International
Missouri Residents add 6.475% Sales Tax FREE Shipping for Missouri Residents
Grand Total
All Orders shipped the next working day. International Orders Shipped insured US Postal Service.