Go the Mile Shirt Order Form.

Name:
Address:
City/State/Zip:
Email:

Please select shirt sizes and quantity needed:

QTY.

SIZE

________ Youth XS
________ Youth Small
________ Youth Medium
________ Youth Large

Illyania is ten years old and attends

fourth grade at Chatham
Elementary. In April of this year,
she was visiting relatives and was
attacked by a dog, resulting in
serious injuries. Go the mile is
Illyanias inspiring way of saying
she will get through the many
challenges her recovery will bring.

________ Adult Small

________ Adult Medium
________ Adult Large
________ Adult XL

All Proceeds from shirt sales go to

assist with medical expenses for
Illyania. If you have any questions,
please email us anytime at
goingthemile@yahoo.com

________ 2X
________ 3X

For more information about

Illyanias journey, please visit:
www.teamillyania.org

________ Other size: _____________

All shirts are $15. Shirts can be picked up at Edgars Coffee Shop in Chatham or shipped for a $4 fee.
Shirt orders can be sent via email at: goingthemile@yahoo.com We will email an confirmation and
invoice for payment. Orders can also be mailed in or handed in where advertised. Thank you so
much for your support and for being on Team Illyania.
Please mail order form & payment to: Team Illyania
87 Chukar
Chatham, IL 62629