2007 Blue Suede Basset Boogie T-Shirt Order Form

Please enter the address to which you wish us to mail your 2007 Blue Suede Basset Boogie T-Shirt(s) -

Name: ____________________________________________________________________

Street Address: _____________________________________________________________

City: ______________________________________ State: ______ Zip Code: ___________

e-mail: ____________________________________________________________________

Qty Large T-shirt: _________ Qty X-large T-shirt: _________

Each 2007 Blue Suede Basset Boogie T-shirt is $20 which includes shipping to U.S. addresses.

Please enter amount enclosed with your order: $____________

Thank you for supporting BellyRubs Basset Rescue. Please print this page, complete your order and mail it to:

BellyRubs Basset Rescue
PO Box 335
Victoria, MS 38679

Questions? contact us at 662-838-4732