Mail-In Order Form ( If ordering online use our online form )
Print Out This Form, Fill It Out And Mail It To Us With Check or Money Order
To: Thunder Struck Custom Bikes   3670 Dodson Dr.   Medford, Oregon 97504   541-779-0340
You Can Order Up To 4 Shirts Per Form.  See website for shirt Color & Design restrictions.
 
  FIRST SHIRT
Type Of Shirt
Color
Size
Design
 
For Maltese Design - Available in Black Shirt Only
Enter Your "Saying" In The "Comments" Section
 
THIRD SHIRT
Type Of Shirt
Color
Size
Design
   		SECOND SHIRT
Type Of Shirt
Color
Size
Design
 
For Maltese Design - Available in Black Shirt Only
Enter Your "Saying" In The "Comments" Section
 
FOURTH SHIRT
Type Of Shirt
Color
Size
Design
 
    
Enter The Amount From All The Above
Add $ 3.00 Shipping for 1st Shirt plus $1. for each additional shirt.
                       (Call Us for International Shipping)
Enter TOTAL Amount (with shipping)
 
  Name
 Address
 City
State
 Zip
 Phone & area code
 E-mail Address (if applicable )
    
Comments - Enter Specific Requests, Maltese "Sayings",
Instructions or Questions Below

  Mail This Upper Page Back To Us.  No need To Mail Bottom Page (2nd page)
 
    
  
 
  
  DESIGN AND REFERENCE CHART BELOW

   

Design Reference Chart
 

Flaming
Head		 Tribal
Skull		 Maltese
Cross
    
Flaming
Skull		 Bike
Design		 Evil Lies
Skull

All Designs Available For Black And
White Shirts - Except Maltese Cross
( Maltese in black shirt only )
  

 

  

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