T-SHIRT ORDER FORM

Name

Address

City/State/Zip

   

Phone

Email (required)

ORDER

 
Number of Adult Small T-Shirts x $10 = $
Number of Adult Medium T-Shirts x $10 = $
Number of Adult Large T-Shirts x $10 = $
Number of Adult X-Large T-Shirts x $10 = $
Number of Adult XXL-Large T-Shirts x $10 = $
Number of Adult XXXL-Large T-Shirts x $10 = $
Number of Youth Small T-Shirts x $10 = $
Number of Youth Medium T-Shirts x $10 = $
Number of Youth Large T-Shirts x $10 = $
Extra Donation to the Oak Clinic   $
Total of Order   $

Thank you for your support! You can pick up your order from the Oak Clinic after May 1st.

 


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 3838 Massillon Rd (Rt. 241) Suite 360,  Uniontown OH 44685  | 330-896-9625
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