Products Price Quantity Total

Products		Price	Quantity	Total
	Custom Blue T-Shirt This is a sample order form with a sample product. Your product description would go here.	$0.00	1	$0.00
Subtotal			$0.00

Custom Blue T-Shirt

This is a sample order form with a sample product. Your product description would go here.

$0.00

Subtotal $0.00

Please note that if you choose PayPal as your payment option your program information will be sent to the email associated with your PayPal account.

If you’d like to change the email address associated with you registration, please do so after receiving your registration confirmation by emailing us at Support@katherinewoodwardthomas.com. We ask you to please submit this request by emailing us from that account.

Billing Information
* First Name
* Last Name
Company Name
* Address - Line 1
Address - Line 2
* City
* State
* Zip Code
* Country
* Phone Number
* Email Address
Shipping is the same as billing

Billing Information

* First Name

* Last Name

Company Name

* Address - Line 1

Address - Line 2

* City

* State

* Zip Code

* Country

* Phone Number

* Email Address

Shipping is the same as billing

Shipping Information

* First Name

* Last Name

Company Name

* Address - Line 1

Address - Line 2

* City

State

* Zip Code

* Country

* Phone Number

Order Summary ($ USD)

Subtotal $0.00

Order total $0.00

Order Summary ($ USD)
Subtotal	$0.00
Order total	$0.00

Credit Card Information
Credit card
Credit Card Type	Credit Card Number	Expiration Date	Security Code

Credit Card Information

Credit card

Credit Card Type

Credit Card Number

Expiration Date

Security Code