Dixie Drifter T-Shirt Order Form

Complete this order form.

NAME ____________________________________________

ADDRESS__________________________________________

CITY___________________ STATE______ ZIP___________

PHONE (___)_________ EMAIL________________________

Large, 2X-Large $20.00   (includes shipping)

(Orders placed will take 3 to 4 weeks for delivery)  GRAND TOTAL $__________

Make your Money Order, Cashier's Check or Personal check (must clear) payable to:

Dixie Drifter
PO Box 0115
Dyersburg, TN  38025-0115 

YOUR BUSINESS IS APPRECIATED   THANK YOU

Any questions? Webmaster@dixiedrifter.com

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All Rights Reserved
Use Allowed By Permission Only
Revised: June 12, 2008