BU** SH** Sticker Order Form - by The CRETIN Coalition

Red, White
and Blue

CRETIN Coalition
BU** SH**
BUSH Sticker Order Form

Texas Flag

Bumper Stickers

        Red, White and Blue - BU** SH**
______ 4 Stickers           $10. = $___________

        Texas Flag - BU** SH**
______   4 Stickers            $10. = $___________

        Both
______   4 Stickers(2 of each) $10. = $___________

Bumper Sticker Packs ( 12 Stickers/Pack )

        Red, White and Blue - BU** SH**
______ Number of Packs      * $24. = $____________

        Texas Flag - BU** SH**
______ Number of Packs      * $24. = $____________

        Both ( 6 of each )
______ Number of Packs      * $24. = $____________

                           Subtotal = $____________
        * * * * *    FREE Shipping = $       0.00

        CA State    Sales Tax   8% = $____________

                              TOTAL = $____________

CRETIN Coalition
Christian Republican Evangelical Teaching International Network
BU** SH** Sticker
Order Form

Mail To:

The CRETIN Coalition
1048 Irvine Ave.
#201
Newport Beach, CA 92660

Please make checks to: The CRETIN Coalition

Name: _________________________________________

Address Line 1: _________________________________________

Address Line 2: _________________________________________

City: _________________________________________

State/Region: _________________________________________

Zip/Postal Code: _________________________________________

Phone: _________________________________________
(optional - just in case of problems)

e-mail address: _________________________________________

Special Instructions/ Requests: __________________________

__________________________________________________________

Thank You for your order!
And it helps to pay for the CRETIN Coalition and CRETIN World Web Sites!