PRINT THIS FORM and mail it . . . or
Call, e-mail or FAX Jennifer with your orders,
Monday through Friday, 9 a.m. to 3 p.m. EST.
E-Mail: locotzinc@embarqmail.com   TELEPHONE: 239-283-5599
FAX:239-283-0532   Toll-Free 1-866-456-2687
T-shirts from  Sanibel Biological Supply


_____ # of   LARGE  size T-Shirts            @  $20.00 = $ _______

_____ # of  EXTRA LARGE size T-Shirts   @ $20.00 = $ _______

_____ # of  XX LARGE size T-Shirts         @ $22.00 = $ _______


                     [shipping and handling fee ...]                     $4.95

                          Florida Residents add 6% Sales Tax:   _______

                                                                     TOTAL = $ _______


     ship to:      name: _____________________________

     address: ____________________________________

                       ____________________________________

                         ____________________________________

                      (MASTERCARD or VISA only)
Credit Card # ______________________ exp date ___/___

Name (as it appears on card) _______________________

Card Billing Address: (SAME as shipping address above?) ____ Yes

   ___________________________

   ___________________________

   ___________________________


Make check to:  Sanibel Biological Supply
Send Check or Money Order :

Sanibel Biological Supply
5576 Doug Taylor Circle
St. James City, FL 33956