2019 Lax-4-Life, Inc. Game Registration
Please fill the following form for your 2019 Lax-4-Life game! ALL ORDERS MUST BE RECEIVED BY : February 1st, 2019. After that date, your game will be subject to availability! You will receive an invoice after your order is processed with the SHIPPING COST added into your total. Cost of each T-shirt is $15.00. We accept check and credit card payments!
Email address *
2019 Campaign T-Shirt - We are excited to celebrate our 10 year Anniversary with you! We are inviting you to write why participating in this season's campaign is important to you! (Markers are included!)
Name *
Your answer
School *
Your answer
Game Date
MM
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DD
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YYYY
HOSTING TEAMS: Please list your opponent(s) here:
Your answer
If you are not hosting, please list your Opponent(s) here:
Your answer
Small Quantity
Your answer
Medium Quantity
Your answer
Large Quantity
Your answer
X-Large Quantity
Your answer
XX-Large Quantity (Additional 1.50 Fee per Shirt)
Your answer
XXX-Large Quantity (Additional $2.00 Fee per Shirt)
Your answer
Billing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
***Shipping Address if different from Billing
Your answer
Questions/Comments/Concerns
Your answer
Interested in purchasing ADDITIONAL Lax-4-Life merchandise? *
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