Order Request
After you fill out this order request, you will be contacted to arrange payment via Cash, Check, PayPal or Venmo. If you have questions please contact Joe Palmeri at (201) 745-2132 or Merchandise@LVIndians.com
Email address *
2019 FUNDRAISER
Name *
Your answer
Phone number *
Your answer
Team *
20oz Insulated Cups - $20 EACH
Please Enter QTY Below
Your answer
30oz Insulated Cups - $25 EACH
Please Enter QTY Below
Your answer
Order Total *
[___QTY 20oz x $20] + [___QTY 30oz x $25] = TOTAL $
Your answer
Notes
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A copy of your responses will be emailed to the address you provided.
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