Polo Shirt Order Form

Guardian ad Litem

Voices For Children

NAME:                            ADDRESS: PHONE NUMBER: EMAIL ADDRESS: COLOR (FROM CHART) TYPE  (Lady's or Men's) SIZE METHODS OF PAYMENT:     (EACH SHIRT IS $25.00  --- $33.00 IF YOU WANT THE "KIDS" LOGO) CHECK (SEND TO JOE AT GAL OFFICE) CASH (BRING TO OFFICE, MUST RECEIVE PAYMENT PRIOR TO ORDERING) CREDIT CARD NAME ON CARD TYPE(VISA, MC, DISC., AE) CC NUMBER EXPIRATION DATE CODE ADDRESS ASSOCIATED WITH CARD (LEAVE BLANK IF SAME)