GOLF
SHIRT ORDER FORM
| Name
________________________________ Date
_____________ |
| Address
_________________________________________________ |
| City
_____________________ State __________ Zip
___________ |
| Phone
____________________ Cell
_________________________ |
|
Quantity |
| ______ |
Small |
@ 30.00 |
= $ __________ |
| ______ |
Medium |
@ 30.00 |
= $ __________ |
| ______ |
Large |
@ 30.00 |
= $ __________ |
| ______ |
X-Large |
@ 30.00 |
= $ __________ |
| ______ |
XX-Large |
@ 31.00 |
= $ __________ |
| ______ |
XXX-Large |
@ 32.00 |
= $ __________ |
|
Shipping & Handling |
@ 5.00 |
$ __________ |
|
(If not picked up at
meeting) |
|
|
TOTAL |
$ __________ |
|
Make
checks payable to TGAGNOI |
| Mail
this form and check to:
|
| ALFRED
RODRIGUEZ |
| P.O.
BOX 740638 |
| NEW
ORLEANS, LA 70174-0638 |
| He
can be contacted at (504) 367-1146
|
|
|