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Pinellas Patriots T-Shirts Order Form
- S/M/L/XL/XXL.........$15.00 Donation
-----Size----------Quantity-----------Logo on Front or Back
- Small---------_______---------------________
- Medium-------_______---------------________
- Large---------_______---------------________
- XLarge--------_______---------------________
- XXLarge-------_______---------------________
NAME
______________________________________________________
ADDRESS
-___________________________________________________
CITY, STATE, ZIP
-_____________________________________________
E-MAIL ADDRESS
-_____________________________________________
PHONE #
-___________________________________________________
NUMBER OF SHIRTS ORDERED_________AMOUNT ENCLOSED $____________
*Payments are non-refundable.
*Please allow 1-2 weeks for delivery.
*Orders must be picked up at Quaker Steak Bike Night on Wednesdays or a General Meeting
Please print this page and send along with check or money order made payable to
PinellasPatriots.orgSend to:
Carmen Coleman (Pinellas Patriots Treasurer)
107 E Jersey Avenue
Brandon, FL 33510-3401