2012 Kentucky State Tournament T-Shirt Order Form

Please fill in the following information and select the "Submit" button at the bottom of the form.
Do not press the "Enter" key while filling out the form. Doing so will submit the form.
You must select the "Submit" button at the bottom of the form to submit your order.

Payment should be mailed to the address at the bottom of the form.

Last day for orders is Wednesday, March 14, 2012, at 5:00 pm.
Please mail your payment as soon as possible after you place your order.

Note: The names and cities of the churches registering for the 2012 Kentucky State Tournament
will be on the back of the shirt (if they are registered by the deadline).

CONTACT INFORMATION (PERSON RESPONSIBLE)
Name:
Phone:
Email:
Church Name:
Church City:

INDIGO BLUE Shirt Sizes and Quantity
The following sizes are $13 each
Youth S:
Youth M:
Youth L:
Adult S:
Adult M:
Adult L:
Adult XL:
The following sizes are $15 each
Adult XXL:
Adult XXXL:

IRISH GREEN Shirt Sizes and Quantity
The following sizes are $13 each
Youth S:
Youth M:
Youth L:
Adult S:
Adult M:
Adult L:
Adult XL:
The following sizes are $13 each
Adult XXL:
Adult XXXL:

SAFETY GREEN Shirt Sizes and Quantity
The following sizes are $13 each
Youth S:
Youth M:
Youth L:
Adult S:
Adult M:
Adult L:
Adult XL:
The following sizes are $13 each
Adult XXL:
Adult XXXL:

Press the following button to calculate your total cost. (JavaScript must be enabled.)
	$ for shirts

ADDITIONAL COMMENTS

Antispam code - Please enter the 3 black characters in the image (below, left) in the text box (below, right) before selecting "Submit". If you do not, you may lose all of the information you entered!

You should receive a confirmation email within 24 hours of submitting your order.
If you do not, please send an email to tshirts "AT" jc4us "DOT" com.

Please send your check (payable to "Mike Kelly") to:

Mike Kelly
124 Braemar Drive
Richmond, KY 40475

(If not sending a church check, please write your church name on the check or include it on a note.)

[Press the "Submit" button to submit your t-shirt order.]

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Use of these images and trademarks without written authorization is forbidden and is a violation of federal and international laws.

DIRECTIONS:

2012 Kentucky State Tournament T-Shirt Order Form