Order Form
    
    Name / Nome:                             
    
    Address / Indirizzo:                     
    
    City / Citta:                             
    
    State / Provincia:                        
    
    Zip Code / Codice Postale:                

    Country / Nazione:                        
    
    Telephone / Telefono:                    

    E-mail Address / E-mail Indirizzo:       
    

         Items
          T-Shirt          Quantity:   @ $13.00/each*
          Hat              Quantity:   @ $14.00/each*
          Polo Shirt       Quantity:   @ $18.00/each*
    

         Required fields in Red
          * Plus postage and handling
         ** XXL and larger sizes add $2.00 each