Merchandise order Name * First Name Last Name Dojo Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Email * Sizes Small Medium Large X Large XX Large XX Large XXX Large Message please list quantities if greater than one Cost per Tee shirt $40.00 ea inc delivery Please make your payment to Aikido Aotearoa New Zealand : Account Number 06-0193-0964710-00 Thank you for your order.