PRINT THIS PAGE and send the completed form to B.Rachel Schulson at the address below.

T-Shirt order form (MUST RETURN WITH PAYMENT BY FEBRUARY 20)

Name ______________________________________

Mailing Address ________________________________________________________________________

________________________________________________________________________________________

Men's shirts are not pre-shrunk

Men's small _____ (quantity)

Men's medium _____ (quantity)

Men's large _____ (quantity)

Men's XL _____ (quantity)

Women's shirts are pre-shrunk

Women's small _____ (quantity)

Women's medium _____ (quantity)

Women's large _____ (quantity)

Women's XL _____ (quantity)

Total number of shirts _______ x $16.00 each (inc. tax, shipping, and handling) = ________ TOTAL DUE

Make check payable to Camp Kokosing and mail order form/check by February 20 to:

B. Rachel Schulson
533 Barton Avenue
Chattanooga TN 37405