T-Shirt Form

T-Shirt Order Form

Name: _________________________________________________
Address: _______________________________________________
City: __________________________________________________
State: _____________ Zip Code: ____________________________
Telephone Number: _______________________________________

Youth Sizes
Size	Color #	Design #	No. of Shirts	Price Each	Total
Small	__________	__________	__________	$10.00	__________
Medium	__________	__________	__________	$10.00	__________
Large	__________	__________	__________	$10.00	__________

Adult Sizes
Size	Color #	Design #	No. of Shirts	Price Each
Small	__________	__________	__________	$12.00	__________
Medium	__________	__________	__________	$12.00	__________
Large	__________	__________	__________	$12.00	__________
XL	__________	__________	__________	$15.00	__________
2 XL	__________	__________	__________	$16.00	__________
3 XL	__________	__________	__________	$19.00	__________
				Sub-Total	__________
				Shipping	5.00
				Total	__________

When you have made your selection of design & color, enter the numbers in the columns above.


Design #1	Design #2	Design #3

Click on images for larger view

Return completed form with check or money order to: Judy Long, T-shirt Chairman, 504 S. Seneca, Bartlesville, OK 74003
Make checks payable to Kiddie Park
Tel 918-336-4889, E-mail: tshirts@kiddiepark.net

Design #1

Design #2

Design #3