M ERCHANDISE O RDER F ORM
P AYMENT I NSTRUCTIONS : Please send Check or Money Order to the address listed below; make payments out to “IWW”; send cash only at your own risk. Please list alternates in case we do not have the items you request. Refer to the Merchandise Web Site for a list of items NAME _________________________________________________________________________________ ADDRESS ______________________________________________________________________________ PHONE NUMBER (in case of difficulty filling the order) ___________________________________________ E-Mail Address (if applicable ________________________________
If being mailed to a different name and address, please indicate in the space provided here: NAME _________________________________________________________________________________ ADDRESS _____________________________________________________________________________
Item Description
Quantity
Unit Price Unit Total
Subtotal: Shipping & Handling (10% of Total): Grand Total (Amount Enclosed):
Please Fold, Stamp, and Address this form as follows:
IWW, PO Box 13476, Philadelphia, PA 19101, USA (don’t forget to include your payment) IWW IU 560 Union Labor Donated
