* = these fields are required.
60th Anniversary Tee Shirt Order Form
(Cost is $15/per shirt)
*Name:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Phone:
*Email Address:
*Sizes:
(Quantity)
Youth Small:
Youth Medium:
Youth Large:
Adult Small:
Adult Medium:
Adult Large:
Adult X-Large:
Adult XXL:
Note up charge of $3.00 ($18.00/per shirt)
Adult XXXL:
Note up charge of $3.00 ($18.00/per shirt)
*Payment Method:
Cash (Pickup Only)
Check
Credit Card
VIP Points (1 Point = 1 Dollar)
*Shipping and Handling:
I will be stopping by the station to pickup my order.
I understand that there is a additonal fee of $5.00 per shirt for shipping and handling.
Please allow 3 to 5 business days for your order to be processed.
* = these fields are required.
* = these fields are required.