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Viterbo Alumni Soccer Game Shirt Order Form
Saturday, August 10, 2019 1:00 pm Men's Alumni Game and 3:00 pm Women's Alumni Game, Viterbo Athletic Complex
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First Name
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Maiden Name (If Applicable)
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Last Name
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Mailing Address
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City
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State
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Zip
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Email Address
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Cell Phone Number
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Gender
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Female
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Shirt Size
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Other:
Preferred Number on Jersey
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I will call the alumni office to pay for my game day shirt with my credit card 608-796-3070 $20
I will mail a $20 check to Viterbo University Alumni Office, 900 Viterbo Drive, La Crosse, WI 54601
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