ORDER FORM FOR T-Shirt
Include form with payment

 
Name_____________________________  Phone (___)____-___________

Address_____________________________________________________

Mailing Address_______________________________________________

E-Mail -If online Order___________________________________________

Shirt Size and amount of shirts you would like

Small___   Medium____ Large___ X-Large___ XX-Large____

Cost of Shirt is $12.00, XX-Large Shirts are $14.00.
Make Checks payable to  Coffey County Chamber of Commerce.

Postage and Handling included in price of shirt.
You may send a Check to
Coffey County Chamber Of Commerce
110 N. 4th Street
Burlington Kansas,66839



    Coffey County Chamber

                                                   © 2006 The Coffey County Chamber of Commerce. All rights reserved.