SHOs East Convention 2002-Polo Shirt Order Form

Please complete your order and mail it out by 11/30/2002 (EXTENDED order time, for a limited time, don't delay!)

 

 

 

Name

 

 

Address

 

 

City, State, Zip

 

 

Phone # [in case of an order question]

 

 

 

 

Size

Price

Qty

Total

M

$ 38.00

 

 

L

$ 38.00

 

 

XL

$ 38.00

 

 

XXL [+$2]

$ 40.00

 

 

Shipping and Handling

 

$ 5.00

 

Grand Total

 

 MAKE CHECKS PAYABLE TO: “LSHOC”

 Mail to:

Terri Huffnagle, LSHOC

4245 Chestnut Avenue
Oakford, PA  19053

 ~ Thank you for your order ~