KingUvdaStreet Urban Clothing                    BILLING ADDRESS - NAME AND ADDRESS BELOW SHOULD BE
 P.O. BOX 47474                THAT OF THE PERSON SUBMITTING THE PAYMENT (CREDIT
 Chicago, IL 60647                            CARD HOLDER)
 support@kinguvdastreet.com        
Please print clearly. All information presented here is secure and strickly confidential.
BILL TO: SHIP TO:
NAME:            ____________________________ NAME:            ____________________________
ADDRESS:      ____________________________ ADDRESS:      ____________________________
CITY/STATE:___________________ / _______ CITY/STATE:___________________ / _______
ZIPCODE:      ___________________ ZIPCODE:      ___________________
                                              CHECK HERE IF: BILLING ADDRESS IS THE SAME AS SHIP TO ADDRESS
UPC/SKU# QTY DESCRIPTION: NAME/COLOR SIZE UNIT PRICE TOTAL PRICE
1002SS 1 Urban SS 6.1 oz Tee / Black XL $9.99 $9.99
           
           
           
           
           
           
           
Please list additional items on a separate sheet of paper. We reserve the right to limit quantities. Grand Total  
Note: Final total will be calculated, including shipping, upon the receipt of your order and an Shipping
invoice will be sent to you along with your items.  Standard          International
PLEASE SELECT A METHOD OF PAYMENT Shipping prices will be determined by the
total weight of item(s). Circle one.
     MAILED MONEY ORDER PAYABLE TO KINGUVDASTREET URBAN CLOTHING.
If your items are not available, would you
    ( Do not send cash )     like us to:                 Credit your account
                A Refund
CREDIT /
                             Hold on backorder
DEBIT CARD
       VISA              MASTERCARD              DISCOVER              AMERICAN EXPRESS
________________________________________________________
ACCOUNT NUMBER                                                            CVC Note: Declined credit card orders will be
  M    M     Y     R                                 PRINT NAME
held for authorization for up to 5 business
EXPIRATION DATE                          SIGNATURE   X days.
PayPal Paypal is a fast, easy and secure new payment method available for online orders. Yo can choose to pay with your credit card, debit
 card, bank account or Paypal account balance without disclosing your financial information to us. To use Paypal, simply select Paypal as your
method on the website, login to your existing Paypal account, select a payment source and complete your order. It's that easy! If you do not have
an existing Paypal account or would like additional details, please visit our website at www.kinguvdastreet.com.
WESTERN Pay with cash! Pay for your KingUvdaStreet order in cash at any one of the 45,000 Western Union Agent locations throughout
      UNION North America. To pay for your KingUvdaStreet order in cash, please contact KingUvdaStreet at customercare@kinguvdastreet.com
to place your order and receive pasyment instructions. You can also visit our website and go to our customer care center for more information. The
total payment amount will also include a Western Union processing fee per order. Please allow at least 30 minutes between placing your order with
KingUvdaStreet and making your payment with Western Union. For additional details, please visit our website at www.kinguvdastreet.com.
FOR YOUR PROTECTION KingUvdaStreet reserves the right to hold credit card orders for verification. If we are unable to obtain an
authorization, we will cancel the order. All prices are subject to change without notice.
Please contact Customer Care at customercare@kinguvdastreet.com with any questions or concerns.
THANK YOU FOR YOUR BUSINESS!