T-Shirt, Sweat Shirt, and Tote Bag order form
T-Shirt Dill Green
Small-$11.00______ Medium-$11.00_____ Large-$11.00_____
X-Large-$11.25_____ XX-Large-$12.50_____ XXX-Large-$13.50_____
XXXX-Large-$15.00_____ XXXXX-Large-$18.00_____
XXXXXX-Large-$20.50_____
Sweat Shirt Royal Blue
Small-$15.00_____ Medium-$15.00_____ Large-$15.00_____
X-Large-$16.00_____ XX-Large-$17.00_____ XXX-Large-$18.25_____
XXXX-Large-$20.50_____
Tote Bags- Black (size is 12" x 14" x 6.5") $12.00_____
Total Order: T-Shirts______ Sweat Shirts______ Tote Bags______
Amount enclosed_______
Name_______________________________________________________
Address_____________________________________________________
City______________________________ State______ ZIP_____________
Check Number:_________ □ Check here if workshop instructor
All orders must be in no later than January 15, 2010.
Remember, if you are a workshop presenter you do not need to send payment, but you must send your shirt or tote bag request by the deadline. Thank you.
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Send the above order form, along with your check to:
Todd Nielsen
Louisville Dulcimer Society
3512 Sample Way
Louisville, Ky. 40245