Order Form

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BILLING INFO: Your Name
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Email address for order confirmation
and shipping info:

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Address Credit Card Bills to - Street
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SHIPPING INFO
 Same as Billing? Yes No (required)
If DIFFERENT,
please provide complete shipping address:
MERCHANDISE


$19.95
Quantity
First Name for Inscription:

Order a total of 2 items, books and/or shirts in any combination and qualify for
FREE SHIPPING!

Single item shipping cost $6.00

$19.95
Quantity
First Name for Inscription:
SHIRTS: "An Uncommon Woman"
(t-shirts are very fitted, order size larger than you typically wear)


Hot Pink & Lime Green
Quantity
Large X-Large
$21.95 each

Select Color, Size and Quantity

Click here
for detail of
embroidery

Periwinkle Blue & Golden Yellow
Quantity
Large X-Large
PAYMENT INFO
CREDIT CARD INFO: (check one)
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Card Number:


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Exp. Date (mm/year)
Name as appears on Credit Card:
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CLICK SUBMIT TO PLACE YOUR ORDER



You will receive a confirmation email with your order total and shipping date.
Your credit card statement will show Kobe Foundation.