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Black-Out for Easterseals
Please submit form and money by Tuesday, January 16th by 3:15PM!
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* Indicates required question
Email
*
Your email
T-shirt graphics (black shirt / white lettering)
Name
*
Your answer
Delivery option
*
5th hour
Pick-up Thursday, February 8th in front lobby 3:30-5:30PM
If you chose 5th hour, what is your 5th hour class?
Your answer
T-Shirts Cost $15 T-shirt size
*
S
M
L
XL
XXL (add $2)
XXXL (add $3)
T-Shirts Cost $15 T-shirt size
S
M
L
XL
XXL (add $2)
XXXL (add $3)
Clear selection
Payment
cash (give to Mrs. Cooper)
check (give to Mrs. Cooper and make payable to Unified Redbirds
Paypal (put "Black-Out t-shirt" in the comment box)
A copy of your responses will be emailed to the address you provided.
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