Fall Shirt Order Form
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SC4 T – Shirt / Sweatshirt Order Form Please clearly print your information: Name: ____________________________________________________ Address: __________________________________________________ City: _________________________ State: _______ Zip: __________ Phone Number: ____________________________________________ Class Schedule (include day, time, room number) _________________ (This will aid in delivery) Qty
Item #
Options
Size
Example, 1
NSCCCC09
On back: Name, see below
L
Price
Total $25.00
$25.00
Total T-Shirt / Sweatshirt Size Available: S M L XL XXL Options for all shirts & sweatshirts include: On the back: Can Read: SMITH, RN or C.SMITH, RN OR :
NURSING
Options for sweatshirts only include: Either option above OR: NURSING on the sleeve PLEASE clearly indicate the option you’d like on the order form. If you’d like your name to appear on the back of your shirt / sweatshirt, PLEASE PRINT IT CLEARLY HERE EXACTLY AS YOU’D LIKE IT TO APPEAR ON YOUR SHIRT. NAME: __________________________________________________________________________________
Return the form to an ADN Nursing Council Officer by November 12th, 2008. Make checks payable to: Nicole Smith
Item #
Options
Size
Example, 1
NSCCCC09
On back: Name, see below
L
Price
Total $25.00
$25.00
Total T-Shirt / Sweatshirt Size Available: S M L XL XXL Options for all shirts & sweatshirts include: On the back: Can Read: SMITH, RN or C.SMITH, RN OR :
NURSING
Options for sweatshirts only include: Either option above OR: NURSING on the sleeve PLEASE clearly indicate the option you’d like on the order form. If you’d like your name to appear on the back of your shirt / sweatshirt, PLEASE PRINT IT CLEARLY HERE EXACTLY AS YOU’D LIKE IT TO APPEAR ON YOUR SHIRT. NAME: __________________________________________________________________________________
Return the form to an ADN Nursing Council Officer by November 12th, 2008. Make checks payable to: Nicole Smith
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