Believe 271 Merchandise Holiday Sale Order Form Name: Cell Phone #: Pickup Information Pickup Whitesboro Fire Department Barneveld Fire Department Location: Pickup Date: Saturday, December 20, 2014 Saturday, December 20, 2014 Pickup Time: 9:30 a.m. – 11: 30 a.m. 12:00 p.m. – 2:00 p.m. Where will you pickup your merchandise? (circle one below) Whitesboro Believe T-Shirts Barneveld Merchandise Available Sizes Quantity Price/ Subtotal Available Desired Item S M L XL 2X 3X 4X 5X $15.00 $15.00 $15.00 $15.00 $15.00 $15.00 $15.00 $15.00 • Print and complete this form • Mail the form with payment to: Sarah McQueen 10 Bermuda Road Whitesboro, NY 13492 Or email to (pay at pickup): sgmcqueen@gmail.com Youth S Youth M Youth L S M L XL 2X 3X 4X 5X $15.00 $15.00 $15.00 $20.00 $20.00 $20.00 $20.00 $20.00 $20.00 $20.00 $20.00 • December 2 – 18 for delivery before Christmas • If you have a problem with pickup or the sale dates, contact Sarah McQueen, Merchandise Sales Chair at: 315-723-2343 S M L XL 2X 3X 4X $30.00 $30.00 $30.00 $30.00 $30.00 $30.00 $30.00 • We accept cash or checks • Make checks payable to: Believe 271 Fund • We do not accept credit cards • Payment must be made at time of pick up 8” 9” $5.00 $5.00 Small Large $5.00 $10.00 One size $15.00 Believe Long Sleeved T-Shirts Believe Hoodies Other Items Hat: Order Total: Sale Dates Payment Information Contact Information Survivor Bracelet: Decals for: Helmet or Car- Other Information: How to Order Truck - • If you have a question about ordering, sizing, pickup or payment… • Contact Sarah McQueen, Merchandise Sales Chair at: 315-723-2343