2017 Chapter Shirt Order Form

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Shirts will not be ordered unless payment is made in full.
Mock up can be seen at : https://docs.google.com/document/d/1L2o615SJqJEosOLiw8C4lt_JnRrNYEaILohhByjRxC0/edit?usp=sharing

First and Last Name *

Mailing Address *

City/State/Zip *

Email Address *

Phone Number *

Are you a paid member of the Greater Binghamton Chapter PSAA? *

Yes

Indicate number & size of each YOUTH SHORT sleeved T-shirt to be ordered

($10 Each, YOUTH Sizes S, M. L)

Indicate number & size of each ADULT SHORT sleeved T-shirt to be ordered

($10 Each, ADULT Sizes S, M. L, XL: ADD $4 for 2XL, $6 for 3XL)

Indicate number & size of each ADULT LONG sleeved T-shirt to be ordered

($15 Each, ADULT Sizes S, M. L, XL: ADD $4 for 2XL, $6 for 3XL)

Indicate number & size of each ADULT HOODIE SWEATSHIRTS to be ordered

($25 Each, ADULT Sizes S, M. L, XL: ADD $4 for 2XL, $6 for 3XL)

Payment Method

Check

Paypal ($1/shirt surcharge)

Clear selection

I have read and agreed to terms below: *

All shirts must be picked up from chapter meeting or event. If member chooses to have shirts mailed to their home they will be charged an extra $8/ item in shipping. I have looked over my order form, it is correct and I agree to pay for what I have ordered

I have read the terms and will PICK MY SHIRT UP.

I have read the terms and would like my items shipped for $8 per item.

Required

Submit

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