(please print form)

Last Chance To Order The 2001-02 T-Shirt

Due No Later Than November 8, 2001

Short Sleeves: $8.00     YS    YM    YL    AS    AM    AL    AXL    AXXL

Long Sleeves: $12.00    YS    YM    YL    AS    AM    AL    AXL    AXXL

NAME:____________________________________________

Short sleeves     Long sleeves      (Please circle)

size: __________   quantity: __________

Method of payment:______________  Amount: __________

Cash or check only.

Make Check Payable To:
Boys & Girls Clubs Of Northern Westchester

Give to Monique or leave in the envelope on the bulletin board
(place order form and payment in a sealed envelope, please)