1. Please Enclose this form with your check made out to "Upside Down World."
2. Send Your Donation to:
Upside Down World
Attn: Cyril Mychalejko
34 McConkey Drive
Washington Crossing, PA 18977
3. Choose Your Thank-You T-shirt! Donate $30 or more and receive an Upside Down World T-shirt! If you would like more than one, calculate how many you want to receive for a minimum donation of $30 a piece.
Please mark one of the following:
_____Yes! Please send me an Upside Down World T-shirt in the size of my choice.
_____ No thanks, I want all of my donation to go to Upside Down World.
Indicate the shirts you would like to receive by marking a number next to your size preference (we will send you one shirt for every $20 donation)
______ Men’s Small
______ Men’s Medium
______ Men’s Large
______ Men’s X-Large
______ Women’s Medium
______ Women’s Large
Your Mailing Address:
Street Address / PO Box: ___________________________________________
City / State / Zip/Country ____________/ __________ / ___________/___________