Order Form

Texas A&M University-Kingsville
Chemistry Department

Order Form

Item #	Item Description	Qty.	Price	Total
Chem-001	Javelinium MousePad		$3.00
Chem-002	Javelinium Coffee Mug		$5.00
Chem-003	Javelinium T-Shirt		Indicate Size: Medium$8.00 Large $8.00 XL $8.00 XXL $9.00
Chem-004	Javelinium Polo Shirt		Indicate Size: Medium$15.00 Large $15.00 XL $15.00 XXL $16.00
			Total Amount Due:

Please make checks payable to: TAMUK Chemistry Department

Please Send Payment to:                  Texas A&M University-Kingsville
                                                      Chemistry Department
                                                      MSC 161
                                                      Kingsville, Texas 78363

<------BACK