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Shivers for Senate T-Shirt / Yard Sign Order Form
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Email *
1. NAME (First and Last) *
2. CELL PHONE NUMBER (###-###-####) *
3. ADDRESS (address, city, state, zip) *
4. CLASSIC T-SHIRT?
To score a classic T, we're asking for a $25 donation to cover costs and support the cause!  (Payment options at the end of form.)
 *
4a. Classic T-Shirt Sizes (adult sizes)
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4b. Want to snag additional classic T's?
In the space below, write the additional sizes and how many of each you'd like! 

If no, skip to next question.
5. YARD SIGNS?
For our Senate District 11 friends in Warren County and City of Knoxville, you, too, can score a yard sign! 

We appreciate this additional way to get the word out and there is no cost to you for a yard sign, but if you would like to support the movement financially to help cover these costs, you may make a donation at www.shiversforsenate.com/donate.
 *
5a. Yard Sign Sizes
Please order me the following Shivers for Senate sign...
(If you have a strategic location for a large "barn" sign contact Mandee directly for options!)
5b. Need more than one yard sign?
If you have different locations to put a yard sign, and need more than 1, in the space below, write how many you would like and the city they will be posted in.  

If no, skip to next question.
6. PAYMENT OPTIONS
Choose a payment method below:
 *
7. JUST WONDERING...Can we use your email and phone number provided to let you know about campaign happenings? *
8. ANY COMMENTS OR ENCOURAGING WORDS YOU'D LIKE TO SHARE? : )

If none, click the Submit button and your order will be placed!
Thank you for supporting Shivers for Senate!
Once you click Submit, your order will be processed!
A copy of your order will be sent to the email address you provided.

Be sure to stay engaged with the campaign by visiting www.ShiversforSenate.com and all the social media links on the webpage!

*Paid for by Shivers for Senate Campaign.  Shivers for Senate Campaign reserves the right to update designs of the products and approve or deny requests for products. If an order is denied, any payment made will be refunded minus any incurred fees.
A copy of your responses will be emailed to the address you provided.
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