Order Form

 Be sure to read INFO page before ordering. 

Please enter your selections below. When you submit this order, you'll see a confirmation showing this entire form being sent. Don't panic -you haven't accidentally ordered 10 shirts! Only the lines which have the QTY and DESIGN boxes filled will actually register as orders. If you are ordering more than ten designs in multiple quantities/sizes, it's probably better for you to contact us via e-mail.  

QTY   ITEM DESIGN  SIZE COLOR PRICE

  Shipping: $4 for first item ($10 outside USA), $1 for each additional. Only $10 for orders of ten or more items (USA only)

BILLING
Credit Card
Cardholder Name
Card Number  
Expiration Date     3-digit # on back of card

Call for Credit Card 

SHIPPING
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code  
Country
Phone  
e-mail

 

How did you hear of us?
  
If you have any problems using/sending this form, please contact us immediately; click here or call us at 610 827-1150, so we can get it fixed.  Thanks! 
Copyright © 1999 [THE VALKYRIES]. All rights reserved.
Revised: June 24, 2008