Print out this Form or a reasonable facsimile 

                  1. Check or Money Order Only

     2. To made out to: Donald J. Reinholz & Company

              3.  Send to:  660 Wilson Ave.

                                   Reno, Nevada

                                       89502

    (      )  1    T-shirt "Package"  .......................  $ 1,000.00

                                 Contents of "Package"

              2 T-shirts, one that would be A the other B

            1 Free "Pay per View" Event to be announced 

                         A "Buy Back" Provision.

           One year from date of original purchase.