NSSLHA T-Shirts and Sweatshirts

Deadline: Last day to order is October 15, 2010

Name: _______________________________

Phone #: _____________________________

E-mail: ______________________________

T-Shirt Style:

o Standard Cotton Tee - $15

o Ladies’ Fitted Tee - $20

o Crewneck Sweatshirt - $40

o Hoodie - $45

T-Shirt/Sweatshirt Size:

(Please note that the ladies’ fitted tee runs pretty small, so you will probably be a size larger than you normally wear.)


o Small

o Medium

o Large

o X-Large

o XX-Large

Payment: Cash and checks are accepted. Make checks payable to NSSLHA, and on the top of your check you must include your driver’s license number and phone number. Please give this form and payment to any NSSLHA Officer, or place them in the NSSLHA box on Annette’s desk.

OFFICE USE ONLY

Yes Date Initials

Paid :

Deposit:

Email Confirmation: