The Codpiece International Order Form ===================================== Please print (or type) clearly. Name :________________________________________ Address :__________________________________________________ City :____________________ State:___ Zip:_____________ Tel. No. (home):____________________ (work):____________________ Fax No.(if any) :____________________ SHIPPING ADDRESS (CANNOT be different for Credit Card orders!) Address :__________________________________________________ City :_____________________ State:___ Zip:______________ Sizes: S, M, L, XL, XXL, 3XL (Unisex), available in white only. Type: 100% cotton (so if in doubt order BIG!) Styles: 1. "Bring Back the Codpiece" has 3 men, two with historical codpieces, and one with a modern day codpiece. On the back is the codpiece definition. 2. "Indulge your Bulge" has Calvin Codpiece with his power codpiece and tie (located on the breast pocket). On the back is the codpiece definition. 3. "A New Dimension in Men's Clothing" has a present day man w/codpiece from a ground-up perspective. On the back is "Indulge your Bulge". Please send _____ _____ #_____ T-shirt @ $13 (S-XL), $15 (XXL-3XL) (Qty) (Size) (Style) _____ _____ #_____ T-shirt @ $13 (S-XL), $15 (XXL-3XL) (Qty) (Size) (Style) METHOD OF PAYMENT - Make check/money order in US$ payable to Pegasus Printing. ! ! CREDIT CARD INFORMATION Merchandise Total !_________! ! ! ___ Visa ___ Mastercard (Check one) S & H ($4/shirt) !_________! ($5/shirt Canada) ! ! Account # ____________________________ GRAND TOTAL !_________! Name (as it appears on the card): ____________________________ Expiration date: ____________ Signature: ___________________________ SEND FORM WITH PAYMENT TO: Pegasus Printing, 2021 SW Miles St, Portland, OR. 97219. Credit cards orders may be faxed for faster processing. If you have any questions, please call us on (800) 626-7058 or (503) 452-8986, or fax us on (503) 452-9258, or email us at codpiece@teleport.com.