~ HEMP CAPS ORDER FORM ~

Please print and fill out the following form. If you do not have a printer, you may simply write down the necessary info. Please note that all orders are non-refundable.

Name: __________________________________________________________

Address: _______________________________________________________

City, State, Zip: ______________________________________________

Phone Number (Optional): _______________________________________

E-Mail Address (Optional): _____________________________________


        Hemp Cap Color               Total                 Total
          Combination                 Num.                 Cost


Natural Stitch on GREEN              _____   x   $20   =   _____

Green Stitch on NATURAL              _____   x   $20   =   _____

                      Total Number:  _____    Total Cost:  _____

Make your check payable to LEGALIZE and mail it along with the above order form to: