200th Anniversary PUMC T-Shirt Order Form Second Order

Name

Phone

This address will receive a confirmation email

Shirt Options

Men's & Women's Polo Shirts
Sizes available: Men's (XS - 4XL), Women's (XS - 4XL)
Colors available: Navy, Black, Green, and Grey
Cost: $25 per polo shirt

Men's, Women's, & Children's T-Shirts
Sizes available: Men's (XS - 4XL), Women's (XS - 4XL),
Children's (XS - XL)
Colors: Navy, Black, Green, and Grey
Cost: $15 per adult t-shirt, $10 per child's t-shirt

How many shirts would you like to order

1 2 3 4 5 6

List the style (polo or t-shirt), gender (men's, women's or children's), size, and color of each shirt you would like to order

Tally the total amount of the shirts you are ordering and enter the amount below.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Orders due by Sept. 8th

Please fill out this form and click submit.

200th Anniversary PUMC T-Shirt Order Form Second Order

Description

Please Fix the Following