The T-Shirt Orders

name or rider #

email address (important)

Sizing and Quantity Information shirts cost $15 each size SMALL quantity: 0 size SMALL quantity: 1 ($15) size SMALL quantity: 2 ($30) size SMALL quantity: 3 ($45) size SMALL quantity: 4 ($60) size SMALL quantity: 5 ($75) size MEDIUM quantity: 0 size MEDIUM quantity: 1 ($15) size MEDIUM quantity: 2 ($30) size MEDIUM quantity: 3 ($45) size MEDIUM quantity: 4 ($60) size MEDIUM quantity: 5 ($75) size LARGE quantity: 0 size LARGE quantity: 1 ($15) size LARGE quantity: 2 ($30) size LARGE quantity: 3 ($45) size LARGE quantity: 4 ($60) size LARGE quantity: 5 ($75) size X-LARGE quantity: 0 size X-LARGE quantity: 1 ($15) size X-LARGE quantity: 2 ($30) size X-LARGE quantity: 3 ($45) size X-LARGE quantity: 4 ($60) size X-LARGE quantity: 5 ($75)

Please select if you wish it shipped to you or if you want to pick it up Delivery Method ship it! (address follows) pick up: week 1 pick up: week 2 pick up: week 3 pick up: week 4 pick up: week 5 pick up: week 6 pick up: week 6 pick up: week 7 pick up: week 9 pick up: week X pick up: other

Fill out if you want it shipped: shipping fee = $3 name: street, line 1: street, line 2: city,state,zip:

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