Additional Alumni Jersey - Order Form Cost- $200 (Game jersey only)

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Enter last name, #, size, and team. In additional comments, please add if a "C" or "A" is needed.

Please make checks payable to: GH Pastor Foundation

Mail to: Joe Neville

34018 Beacon St

Livonia, MI

48150

* You may also hand deliver cash or check to Joe on game day, he will provide the jersey at that time.

** DEADLINE FOR ORDERING- March 1st, 2024

Name *

Last Name (For back of jersey) *

Contact Information-

E-mail or phone #

Team *

Red Wings

Rangers

Player # *

Jersey Size *

AS - 48

AM - 50

AL - 52

AXL- 54

AXXL - 56

Additional comments

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