DIRECTIONS :
*1-FILL IN FORM *2-PRINT *3-MAIL FORM WITH CHECK or MONEY ORDER TO :

LOWREY'S AUTO RESTORATION
183 SCHOOL STREET
TILTON, NH 03276


   NAME : 
ADDRESS : 
   CITY :  STATE : 
    ZIP :  PHONE :   
        E-MAIL(optional) : 
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** DARK GRAY T's : XXL ONLY
** VINTAGE BLACK T's AVAILABLE IN MEDIUM & XX-LARGE ONLY
** SWEATSHIRTS - SOLD OUT

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___________________________________________________________________________________________________
                                           SUBTOTAL : 
     (1 Item=$5.00)(2 or More Items=$8.00) SHIPPING : 
                                              TOTAL : 
                            PRINT and MAIL FORM TO ADDRESS ABOVE

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