SLEAZY 3 T-SHIRT ORDER FORM

NAME: ______________________________________________________

ADDRESS: ___________________________________________________

CITY, STATE, ZIP: ____________________________________________

PHONE:___________________ EMAIL:____________________________

QUANTITY 100% COTTON WHITE BEEFY TEES PRICE

__________________ADULT SMALL @ $11.00 ea. = $______________________

__________________ADULT MEDIUM @ $11.00 ea. = $______________________

__________________ADULT LARGE @ $11.00 ea. = $______________________

__________________ADULT X-LRG @ $11.00 ea. = $______________________

__________________ADULT 2X – LRG @ $12.00 ea. = $______________________

__________________ADULT 3X – LRG @ $12.00 ea. = $______________________

__________________ADULT 4X – LRG @ $12.00 ea. = $______________________

SUB TOTAL: $______________________

SHIPPING COSTS:

_________________ PICK UP SHIRT AT SHIP/HOTEL $__No Charge_____

_________________ MAIL SHIRT BY PRIORITY MAIL $_______________________

1 or 2 shirts $3.85; for each additional shirt add $2.00

TOTAL ENCLOSED: $______________________

MAIL CHECK / MONEY ORDER TO: (MAKE PAYABLE TO JUDY O’CONNOR).

JUDY O’CONNOR, 414 WOODVIEW DRIVE, GREENVILLE, MI 48838

ORDERS MUST BE RECEIVED BY: __AUGUST 31, 2004.

QUESTIONS? CONTACT T-SHIRT COMMITTEE

JUDY O’CONNOR: irishgirl@chartermi.net

DEB ELLINGEN: ellingen@chartermi.net