Pro-Brockport T-shirt Order Form

First name ___________________________ Last Name _______________________________ Email ____________________________________ Phone _____________________________

Color

Size (circle)

*Special Size

Price

Quantity

Cost

Solid: Iris Blue Solid: Cardinal Red Solid: Kiwi Green Tie-dye: Gold Tie-dye: Mint Tie-dye: Lavender Tie-dye: Red

M /L /XL M /L /XL M /L /XL M /L /XL M /L /XL M /L /XL M /L /XL

$12 $12 $12 $16 $16 $16 $16

*Special orders: Small; XXL – add $2; XXXL – add $3
Order forms must be accompanied by payment. Make check(s) payable to: Pro-Brockport Mail check(s) and order form(s) to: T-shirts: Pro-Brockport c/o Pam Ketchum 91 Park Avenue Brockport, NY 14420

Please call or email Pam Ketchum with any questions regarding orders and pick up of orders.
Cell: 585-305-4656 Email: pketchum@rochester.rr.com For more information, visit our website www.probrockport.org or email us at probrockport.org@gmail.com

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