| Name: First:__________________________ Last:__________________________ MI:___ |
| Shipping Address: Street:___________________________________ Apt: ___ City:________________________ State: ____ Zip: _______ |
| In case we need to contact you about your order: Phone:___________________ E-mail:___________________ |
| Total |
| Manos Poster $10 (USD) Please check the poster you are ordering: ___Educate Today ___Mission ___Join Hands ___Dreamer ___Peace-Journey ___Opportunities ___If...Then |
_______ x $10 |
$_____________ |
| Manos Polo T-Shirts $15 (USD) CURRENTLY UNAVAILABLE Please circle size: Small Medium |
_______ x $15 |
$_____________ |
| Manos Internacional Velvet Banner $20 (USD) |
_______ x $20 |
$_____________ |
| Manos Internacional Velvet Tapestry $30 (USD) ___x ___ (--cm x --cm) |
_______ x $30 |
$_____________ |
| Total price for all purchases |
$_____________ |
| MANOS MERCHANDISE All proceeds benefit Manos Programs. |