SCICON   

2011/2012 Fundraising T-shirt (SCICON Rocks!)

Order Form (For School-use Only)

School:    _______________________________________________________________________

Address:  _______________________________________________________________________

                                           Street

               _______________________________________________________________________

                                           City                                                                       Zip Code

Phone:    (______) ________________________________

Name:     _______________________________________

Title:       _______________________________________

All shirts are a 50/50 blend of cotton/polyester and are available only in the color of "smoke grey."

The cost per shirt is $8.00 each with an extra charge of $1.50 for Adult XXL and $2.50 for Adult XXXL.  The shirts are only available in the sizes listed below.  Indicate the number of shirts per size in the spaces below.

Youth Small  ____     Youth Medium  ____    Youth Large  ____

Adult Small  ____    Adult Medium  ____    Adult Large   ____     Adult XL  ____

Adult XXL (add $1.50) ____    Adult XXXL (add $2.50)  ____

Total Number of Shirts (Youth Small - Adult XL) ______ x  $8.00 = $ ____________

Total Number of XXL Shirts _____   x   $9.50   =                               $ ____________

Total Number of XXXL Shirts _____  x  $10.50 =                              $ ____________

                                                                                               Total Due:   $ ____________     

Payment is made directly to SS Shirts.  Payment may only be made by:

• School or Student Body Check
• Cash

          No personal checks will be accepted.

         Make school check payable to: SS Shirts

                                                                     2311 E. Prosperity

                                                                     Tulare CA  93274

SS Shirts will ship your completed order directly to your school.  Allow 2 - 4 weeks for delivery.  Price includes sales tax and shipping.  Questions?  Call SS Shirts at (559) 685-8335 or SCICON at (559) 539-2642. No orders accepted after April 20, 2012.