T-SHIRT ORDER FORM
Name________________________________________
Telephone _________________________
Item Price Quantity Total
Youth 2-4 $6.00 ________ ______
Youth 6-8 $6.00 ________ ______
Youth 10-12 $6.00 ________ ______
Youth 14-16 $6.00 ________ ______
Adult Small $7.00 ________ ______
Adult Medium $7.00 ________ ______
Adult Large $7.00 ________ ______
Adult X-Large $7.00 ________ ______
Adult XX-Large $8.00 ________ ______
Adult XXX-Large $9.00 ________ ______
Adult XXXX-Large $10.00 ________ ______
Postage (if no van
Available) $2.00 per shirt ________ ______
TOTAL ___________ ________ xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
T-SHIRTS MUST
BE PRE-ORDERED AND PRE-PAID
Please make
checks payable to “CHILIS”
Due by April
11, 2008
Nesmith Library
8
Fellows Road
Windham,
NH 03087-1909
Fax: 537-0097