BARTH SYNDROME FOUNDATION 2014 INTERNATIONAL SCIENTIFIC, MEDICAL & FAMILY CONFERENCE June 22-28, 2014 Clearwater, FL T-Shirt Sample: Beach Towel Sample: SIZE CHART - Order the next size larger if measurements fall between sizes or if you prefer a looser fit. These are unisex shirts. For women who prefer XS, you may order the XL Youth size. Both styles come in white only to show off the wonderful artwork. Towel XS S M L XL 2XL 3XL 4XL Women (Size) - - 4-6 8-10 12-14 16-18 20-22 24-26 28 -30 Men (Chest) - - 34-36 38-40 42-44 46-48 50-52 54-56 58 -60 Youth (Size) - Y2-4 Y6-8 Y10-12 Y14-16 Y18-20 - - - PRICE CHART Short Sleeve TShirt - $15 $15 $15 $15 $15 $25 $25 $25 Hooded Sweatshirt - $25 $25 $25 $25 $25 $35 $35 $35 $25 - - - - - - - - Beach Towel Ordering Advance orders are required. Please send via email, mail or fax. Information can be found on the order form. Payment Payment may be made in advance or given onsite at the registration desk. You may pay only by check in advance. You may pay with cash, check or credit card onsite. Checks are preferred to keep fees down. Shipping If you are not attending the Conference and would like an item(s) shipped, additional shipping fees will apply. 2014 Barth Syndrome Foundation T-Shirt/Towel Fundraiser 7TH INTERNATIONAL BARTH SYNDROME SCIENTIFIC, MEDICAL & FAMILY CONFERENCE T-Shirt/Sweatshirt & Beach Towel Order Form BILLING INFORMATION (PLEASE PRINT) I will remit payment prior to the Conference. Payment Option I will remit payment upon onsite registration at the Conference. Form of Payment Make checks payable to: Barth Syndrome Foundation. Check Name First Name: Billing Address Street Address: Contact Info. Last Name: City: State/Province: Zip/Postal Code: Country: Telephone (Home): Email: Telephone (Mobile): Date: Quantity T-Shirt Sweatshirt Adult Size Youth Size Price Total BSF Logo Towel Balance Due: US $ Orders by Email: Please submit your order form to Kevin Woodward at [email protected]. Orders by Fax: Fax your orders to (518) 213-4061 Attn: Lynda Sedefian. Orders by Mail: Include this order form. Make checks payable to: Barth Syndrome Foundation. Barth Syndrome Foundation, Inc. PO Box 582 Gretna, NE 68028 Questions: Email Kevin Woodward with any questions at [email protected]. 2014 Barth Syndrome Foundation T-Shirt/Towel Fundraiser