Order Form
Name___________________________________________
Address__________________________________________
_____________________________________________________
Phone #_______________________ Email:___________________
T-Shirts
Style_____Size______Color___________Quantitiy________
Style ____ Size______Color___________Quantitiy_______
Style_____Size______Color___________Quantitiy________
Style_____Size______Color___________Quantitiy________
Charity Bracelet
$3.00 Qty _________
Decals
6 x 24 Color ____________ Quantity _______
4 x 6.7 Color ____________ Quantity _______
License Plate
Color Plate _________________ Color letters ___________
Quantity________
Color Plate _________________ Color letters ___________
Quantity________
License Plate Frame
Color letters ___________ Quantity _________
Color letters ___________ Quantity
_________
Additional Comments
________________________________
____________________________________________________
____________________________________________________
Please fax order form to 610-404-4252,
or email
riverrunners@dejazzd.com
Please mail payment the day you submit your order. All checks/money orders
can be made payable to Eastern PA River Runners.
Method of payment: cash_____ check_____ money order_____
Total amount due: ________________
Mail payment to:
Eastern PA River Runners
544 Pintail Lane
Birdsboro, PA 19508
Thank you for supporting your club!