Sabbatic Campout 2004 T-Shirts

Name (Print legibly please!)___________________________________________________

Shipping Address___________________________________________________________

_________________________________________________________________

City_____________________________________ State_________ Zipcode_____________

E-Mail Address_____________________________________________________

Phone Number_____________________________ Today's Date______________

NO checks accepted! Money Order ONLY! NO returns or exchanges!

T-Shirt Prices Black Shirt & White Print

$15.00 Each on Small-XX Large
Black Shirt & White Print Only

Prices for Color

$23.00 - Each in Color Small-Large
Black Shirt w/Color Print

Select Color


Black Shirt & White Print_______

Black Shirt w/ Color Print_______

Sizes in Adult

Select Size(s)- Small___ Medium___ Large___ Xtra Large___ XX Large___

QTY.__________

Shipping & Handling

$4.00.......... per Shirt
$6.50.......... per 2 Shirts
$8.75..........per 3 Shirts

Total Amount Enclosed $______________

Please Mail Payment to Sabbatic Campout Leader. Midnight Star, PO Box 1573 Agoura Hills, CA 91376 Make Money Order Out to M. Witherspoon