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To Order Shirts from PFLAG Phoenix
(i.e., to be mailed to you):
Your First & Last Name:
______________________________________________
Your Street Address:
______________________________________________
City/State/Zip Code:
______________________________________________
Your Email Address:
______________________________________________
(in case we have questions about your
order form)
_________ Total t-shirts in sizes
Small - Extra Large (XL) times $15.00 =
$_________
_________ Total t-shirts in size XXL
times $16.00 =
$_________
_________ Total polo shirts in Small
- Extra Large (XL) times $30.00 =
$_________
_________ Total polo shirts in size
XXL times $32.00 =
$_________
_________ Total number of shirts to
be mailed to you
Shipping Fees: 1-2 shirts:
$3; 3-4: $5; 5-6: $7; 7+ shirts:
$10 =
$_________
_________ Total number of PFLAG
Phoenix Decals times $5.00 =
$_________
GRAND TOTAL =
$_________
MAIL COMPLETED FORM & CHECK
PAYABLE TO:
PFLAG Phoenix, Attn: Mike Crum,
1031 W. Grand Caymen Dr., Gilbert, AZ 85233-7580 |