|
Color
|
Size
|
|
Small
|
Medium
|
Large
|
X-Large |
XX-Large |
Other _________
|
| White |
|
|
|
|
|
|
| Red |
|
|
|
|
|
| Light
Blue |
|
|
|
|
|
| Yellow |
|
|
|
|
|
| Orange |
|
|
|
|
|
|
Other _________
|
|
|
|
|
|
| Total
Number of Shirts Ordered |
________ |
|
| Times
$10.00 |
________ |
Shipping
$3.50 per shirt
(Priority Mail) |
________ |
| Total
Included With Order |
________ |
| (Check
or Money Order) |
|
| Please
write the number required in Size column in the appropriate color
row |
|
| Ship
To: |
|
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
|
|
| Send
completed form to: |
| Kent
Shepard |
| P.O.Box
128 |
| Chambersburg,
Illinois |
| 62323 |
Please Allow 4 to 6 Weeks For Delivery or May Be Picked Up At The
Tournament (save shipping cost) |