Print-and-Mail Order Form

*Postage and Handling must be added to t-shirt and cap orders

Order Quantity	Product Description	Price Each
	Oklahoma Route 66 Trip Guide	$5.95
	75th Anniversary Route 66 Envelope w/ postmark (white)	$3.95
	75th Anniversary Route 66 Envelope w/ postmark (cream)	$3.95
	Oklahoma Route 66 t-shirt (specify sizes, colors in Instructions below)	$12.00
	OK Route 66 cap camouflage	$12.00
	OK Route 66 cap tan w/ flag	$12.00
	OK Route 66 cap red w/ flag	$12.00
	OK Route 66 cap black w/ flag	$12.00
	OK Route 66 cap navy w/ flag edging	$12.00
	Please add postage & handling charges if ordering t-shirts or caps as follows: 1 cap or shirt: $5.00 2-8 caps or shirts: $10.00 9+ caps or shirts: please call


	Please add $7.00 for orders shipped outside the U.S. and Canada	$7.00


TOTAL (US funds):

Adult t-shirts are available in colors orange, red, lime, ash and blue, and in sizes Small, Medium, Large, and Extra Large.

Children's shirts come in colors red, blue and orange, in sizes Extra Small, Small, Medium, and Large.

Please note that the "flame" cap is no longer available.

Date:
Name:
Business Name:
Address:
City, State, Zip:
Country:
Home phone:
Business phone:
Fax no.:
Email:
CC#, Type, Expiration: We accept MasterCard, Visa and Discover at this time.
Name as it appears on CC:
Signature: We must have your signature if you are paying by credit card!

Remit this form with payment payable to:

Oklahoma Route 66 Assn, PO Box 446, Chandler, OK 74834

Note: Returned checks incur a $35.00 recovery charge.