2011 FLORIDA STATE CHAMPIONSHIP TEE SHIRT ORDER FORM

NAME_________________________________________

Style Size Qty Price Ea. Total Price

# ( ) ( ) $ $

# ( ) ( ) $ $

# ( ) ( ) $ $

TOTAL ENCLOSED $_________________

Prices Sizes

Style options: #1 Logo only $9.00 S – M – L – XL - XXL

#2 Logo and Last name on back $12.00 S – M – L – XL - XXL

#3 Logo with last name on back & first name on front $15.00 S – M – L – XL - XXL

Front Name:____________________________________________

Back Name:____________________________________________

Mail order to : Peg Currier Checks Payable to: St. Cloud Horseshoe Club

5150 Boggy Creek Road, P63

StCloud, FL 34771

(ORDER DEADLINE IS April 17)

Shirts can be picked up at the StCloud Horseshoe Courts on Wed. 4/27, Thur. 4/28, Fri. 4/29 & Sat. 4/30