Please Fill Out Form Entirely. Please Print Clearly. Be Sure to List the Quantity of Each Shirt Size in the Appropriate Box. Specify the *Shirt Design Type for Each Shirt : “Mom,” “Dad,” or “Parent.” Checks Only Please. Make Checks Out To: UWEC/RHA Turn in Check and Order Form at: Registration, Saturday Night Dinner, or Sunday Brunch T-Shirt Price Shirt Size $10.00 Small $10.00 Medium $10.00 Large $12.00 XL $14.00 $14.00 XXL XXXL Total Number of Shirts Sub Total Cost Number of Each Shirt Specify Design Type for Each Shirt Size * Hooded Sweat Shirt Price $20.00 $20.00 $20.00 Shirt Size Small Medium Large $22.00 $24.00 $24.00 XL XXL XXXL Total Number of Shirts Sub Total Cost Grand Total Cost $ Number of Each Shirt Specify Design Type for Each Shirt Size * Blugold Mom, Blugold Dad, or Blugold Parent Total # of Shirts Parent Name:_______________________________ Parent Phone Number:__________________________ Parent Email Address:________________________ List Check Number:_____________________________ Student’s Name:____________________________ Student’s Campus Address:______________________ Student’s Email:____________________________ Student’s Phone Number:________________________ All shirts will be delivered to your student’s on-campus address. A confirmation email will be sent to parent and student upon delivery. Students living off campus will need to visit Towers South: 137 to pick up the shirts.
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