T-SHIRT TYPE:
WHITE T-SHIRT
BLACK T-SHIRT
BLUE T-SHIRT
DONATION of $10
CHOOSE SIZE
:
------------------------------------
SMALL T-SHIRT
MEDIUM T-SHIRT
LARGE T-SHIRT
X-LARGE T-SHIRT
XX-LARGE T-SHIRT
First Name:
Last Name
Address:
City/Town:
State
ZIP
Country
Phone Number:
Celluar
Email Address:
Name on Credit Card:
Expire Month-Year:
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2009
2010
2011
2012
2013
2014
2015
2016
Credit Card Number:
CVC #
ORDER FORM FOR STOPmeLetsPray.com
copyright by (c) MrINTER.NET 1994-2010 - call John at 310-
Mr
.
i
NTERNET