NAME:______________________________

PHONE NUMBER:_____________________

PRICE LIST FOR 2006 TANKS AND T-SHIRTS

TYPE	TANKS	T-SHIRTS
TIE-DIE [SM-XXL]	$16.00	$16.00

 

QUANTITY	SIZE	COLOR	STYLE (Tank/T-shirt)	COST
		Yellow
			TOTAL

 

*************NOTICE*************

ALL SHIRTS MUST BE PAID FOR IN ADVANCE BY July 9th.

RETURN THIS ORDER FORM WITH YOUR PAYMENT TO BLAINE OR SEND TO:

TEAM MOSQUITO

4220 MONARCH AVENUE

MARION, IA 52302.

PLEASE MAKE CHECKS PAYABLE TO TEAM MOSQUITO.

THANK YOU.