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Homecoming 2015
T-Shirt Order Form
PRE-ORDER YOURS TODAY!
(T-Shirt color is grey with black letters)
Cost: $ 12.00 – Adult sizes Small – 4XL
$ 8.00 – Kids sizes Youth Small – Youth XL
Please complete the information below and return to of the following committee members:
Connie Jones, Flora Jones, Rev. Ruby Jenkins, Gay Grandison, or Doris Jones
Cash or Check due with order form submission (make checks payable to Corinth UCC)
Deadline to order is May 24, 2015
****************************************************************************************
First and Last Name
(please print)
Phone # for contact purposes:
Size
(specify Adult or Youth size)
___________________
/ Email Address: ____________________
This section to be completed
by Committee Member only↓
Total # of Adult t-shirts: _____ x $12.00 = _____
Total # of Youth t-shirts: _____ x $ 8.00 = _____
Total Amount Paid: $ ___________
Payment Received: Committee Member Initials: _____
CUT HERE
(keep bottom portion for your records)
Customer receipt:
Order received from: _________________
Total # of Adult t-shirts: _____
Total # of Youth t-shirts: _____
Total Amount Paid: $ ___________
Payment Received: Committee Member Initials: _____
←This section to be completed
by Committee Member only