Rolla High School ~ Class of 1982 ~ 20th Reunion

T-SHIRT ORDER FORM










T-shirt constructed of 50/50 cotton/polyester in heather gray and printed in three colors.

To order a 20th Reunion RHS Class of 1982 keepsake t-shirt please fill out all information below.

Name:														

Address:													

City/State/Zip:												

Telephone Number with area code:									

? Ship to above address		? Hold for pick up

	ADULT SIZES	YOUTH SIZES

Quantity:	?S ?M ?L ?XL ?XXL ?XXXL	?6/8 ?10/12 ?14/16

		Adult ______X $8.00 = $________

		Youth______X $6.00 = $________

	[Priority Mail: 1 t-shirt = $3.50 / 2 or more = $3.95]	Shipping Charge $________

		TOTAL $________

Send form and make check payable to:	Ozark Mountain Embroidery
605 W. 6th Street
Rolla, MO  65401

Store hours:					Monday through Friday – 9:00 a.m. to 5:30 p.m.
Telephone number:				573-341-5610

Credit card payment accepted:		? Master Card    ? Visa    Exp. Date			

						Signature:							

Must receive all orders and payment by deadline date of July 1, 2002.