Catnip Budz
5874 SE West Cheyenne DR
Lathrop, MO 64465

816-320-2479




Please complete the following form and mail with payment to the above address.

Please Check One:

[ ] - Retailer

[ ] - Individual


ORDERED BY
Name:_________________________________________________

Address:________________________________________________

City:______________________State:_______Zip:____________

Phone:_________________________________________________


SHIP TO(If different than ORDERED BY)
Name:_________________________________________________

Address:________________________________________________

City:______________________State:_______Zip:____________

Phone:_________________________________________________

Item Quantity Color Price Total
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Shirts come in Large and X-Large only. Please indicate Sizes by Item
Subtotal $_____________
Shipping & Handling
Surface: $1.00/box
Priority: $3.00/box
_____________

TOTAL

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