| 
	 Pilotshirts.com  | 
  
| 
	 Please include this completed form with any return. (No return authorization is needed.)  | 
  
| 
	 Directions: Type information and print OR print blank form and fill in by hand.  | 
  
| 
	 Pilotshirts.com  | 
  
| 
	 Please include this completed form with any return. (No return authorization is needed.)  | 
  
| 
	 Directions: Type information and print OR print blank form and fill in by hand.  |