CLUB SHIRT ORDER FORM

SGVRCL

Date_________

Club Shirt / Jackets  have a two color Logo on the back.

First Name_________________ Last Name__________________________

Address______________________________________________________

City____________________ State______ Zip_____________

Phone Number___________________________________

“E” Mail______________________________________________________

Short Sleeve shirt,      

                    Color:         Orange (   )      Green (  )      Size____________

Embroidered Name over pocket:_____________________________

Cost  $28.00 all sizes.

Polo Shirts,  Color:    Kelly Green   (   )                    Size_____________

Embroidered Name_________________________________________

Cost $25.00 all sizes.

Jacket,  Color:  Kelly Green  (wind breaker style)  (  ) Size__________

Embroidered Name _________________________________________

Cost $40.00

This is a special order and takes several weeks.

You can have a second name or ham call letters embroidered on the shirt or jacket for $4.00 extra.

Total________________

Deposit ( 50% required )________________

Amount due at delivery________________

Make checks payable to SGVRCL Inc.

Bring to club meeting or any board member.

Mail to SGVRCL PO Box 91733 South El Monte CA 91733