Clothing Order Form (Just print the page and fill out)

Your Name: ______________________________________________________________________

Address: _________________________________________________________________________

City, State, Zip:  ___________________________________________________________________

Embroidered on shirt/briefcase:________________________________________________________
                                                                        State (i.e., FL, NY, CA)                  Chapter

Item # & Description, Color:_________________________________________ Size:____________

Cost:__________ X Quantity:_________ + Shipping:________________ = ____________________

Item # & Description, Color:_________________________________________ Size:____________

Cost:__________ X Quantity:_________ + Shipping:________________ = ____________________

Item # & Description, Color:_________________________________________ Size:____________

Cost:__________ X Quantity:_________ + Shipping:________________ = ____________________

Item # & Description, Color:_________________________________________ Size:____________

Cost:__________ X Quantity:_________ + Shipping:________________ = ____________________

Item # & Description, Color:_________________________________________ Size:____________

Cost:__________ X Quantity:_________ + Shipping:________________ = ____________________

Make check out to Blue Knights OH XXV.  Send check or money order in US Funds Only to:

Blue Knights OH XXV "Clothing Order"
c/o Stark County Sheriff's Office
4500 Atlantic Blvd NE
Canton, OH 44705-4374