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Page 1: ACP T-Shirts and Hats Order Form · 2016-03-03 · ACP t-shirts and hats! The 100% cotton t-shirts feature the ACP logo on the front and ‘Your Smile. Our Specialty.®’ on the

PLEASE NOTE: ALL SALES ARE FINAL.

Item

Small (S) T-Shirt

Medium (M) T-Shirt

Large (L) T-Shirt

Extra Large (XL) T-Shirt

Hat (One Size)

Cost

$29.99

$29.99

$29.99

$29.99

$29.99

Qty. Subtotal

Order DetailsSubtotal Order (USD)

U.S. Shipping (see below)

International Shipping (Cost + $10)

Rush Shipping (Cost + $10)

Grand Total

Billing InformationAll orders must be prepaid or charged to a credit card. Make checks payable to the American College of Prosthodontists.

□ Check Enclosed #

□ Visa □ MasterCard □ AmEx

Card Number

Exp. Date

Card Holder

Bill To:Name

Company

Email

Ship To:Name

Company

Street Address

City

State Zip

Country

Phone

Fax

Email

U.S. Shipping & Handling Charges

Up to $50.00 = $15.00$50.01 to $99.99 = $17.95Free shipping on U.S. domestic orders over $100.

International, rush, and large bulk orders are charged actual shipping costs plus a $10 handling fee. Call or email to receive your final total.

Orders of 10 or more t-shirts or hats: $24.99 each

Celebrate National Prosthodontics Awareness Week in style with ACP t-shirts and hats!

The 100% cotton t-shirts feature the ACP logo on the front and ‘Your Smile. Our Specialty.®’ on the back, while the ACP logo hats are fully adjustable.

All orders must be received by March 16.

Now available for a limited time only!ACP T-Shirts and Hats Order Form

Mail or fax order forms to: American College of Prosthodontists

211 E. Chicago Ave, Suite 1000, Chicago, IL 60611

Tel: 312.573.1260 | Fax: 312.573.1257

Email: [email protected]

Prosthodontics.org

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