PIPERS GAP RESCUE SQUAD
SERVING THE COMMUNITY SINCE 1974

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PIPERS GAP RESCUE SQUAD
40th Anniversary Commemorative
T-Shirt Order Form

Cost of the T-Shirts:
ALL 40th ANNIVERSARY SHIRTS ARE $15.00 EACH

Sizes available:   Adult S, M, L, XL, 2XLT, 3XLT, 4XLT
Gildan Ultra Cotton

       

T-Shirt Order Form
Accepting Checks or Credit/Debit Cards

 

ENTER QUANTITY DESIRED FOR EACH SIZE

  (tall size)
 (tall size)
 (tall size)


BILLING INFORMATION


SHIPPING INFORMATION
(Leave blank if same as billing)


PAYMENT INFORMATION

  (enter all "0's" if paying by check)
  (enter all "0's" if paying by check)
 (enter all "0's" if paying by check)
 (enter all "0's" if paying by check)
Visual Verification Image
Your personal and credit card information is sent and secured using a 256-Bit SSL Connection. You can print this order using the button below for your records and you will receive a confirmation using your email address provided above. Your card will be charged the following based on quantity ordered, plus a flat rate shipping charge of $2.00 regardless of quantity ordered:

All 40th Anniversary Shirts:  $15.00 Each
**Plus flat $2.00 shipping per order, regardless of quantity ordered

Please press the submit button one time.


              

* Required                                          

 

 

 

Copyright 2014 by Pipers Gap Rescue Squad, Inc. All rights reserved.
Revised: 05/03/14 22:02:07 -0400.