Order T-SHIRT ART by Lee Groban

support surrealistic art ideas and t-shirt community art expressions

PRINT THIS FORM TO ORDER

NAME ___________________________________ DATE___________________

ADDRESS ____________________________________ APT # ____________________

CITY _____________________________ STATE _____________ POST# _____________

COUNTRY ___________________________ PHONE _____________________________

E-MAIL 1 _______________________________ E-MAIL 2 _________________________

T-SHIRT DESIGNS, SIZES AND QUANTITIES ORDERED

Adult Size codes
S=Small, M=Medium, L=Large, XL=X-Large, 2X=XXLarge, 3X=XXX-Large, 4X=4X Large

Art Title	Size	Quantity
1 _____________________________	________	________
2 _____________________________	________	________
3 _____________________________	________	________
4 _____________________________	________	________
5 _____________________________	________	________

Total T's Ordered

________

X $18 =

amount enclosed $ _________

Send a check or money order for the amount $18 per t-shirt ordered (FREE postage) to Lee Groban,
P.O. Box 268475, Chicago, IL 60626. Please allow 3-4 weeks for delivery.

For questions about an order we can be reached by e-mail at
lee-groban@lee-groban.com or cdrew@c-drew.com and thanks for supporting surrealistic t-shirt art.