Online Order Form for Products


Name:
Address:
Address2:
City:
State:
Zip:
Phone:

Select Items to Purchase:

APT's Belt Buckle
Please specify color:
Antique Gold Steel Gray
Enclosed is Check or Money Order for $35.00

APT's Lapel Pin
Please specify color:
Black Silver Black Gold Polished Copper
Enclosed is Check or Money Order for $12.00

APT T-Shirt
Please specify size:
MD LG XL XXL
Please specify color:
Black White Red Sand
Please specify sleeve:
Long Sleeve Short Sleeve
Enclosed is Check or Money Order for $20.00 per shirt.


Amount enclosed:



Print this form, Mail with your payment to:

A.P.T., Inc
215 West 18th. Street, Suite 210
Kansas City, Missouri 64108

Office 816-979-1300
Fax 816-979-1310

Email: info@safe-tattoos.com

 

Copyright © 1997-2008, A.P.T. Inc., All Rights Reserved.