MONTANA JCI SENATE SHIRTS 2015
Name:
Address:
City:
State:
Zip Code:
Phone #:
Shirt Size:
Sleeve Length:
Name for Embroidery:
Senate #:
$25 Each or $30 with Name
Amount Paid:
Mail Order Form and Check to:
Janet Prescott
1060 Weaver Road
Belgrade, MT 59714
For more information contact Janet at 406-580-6812 or email: fedupred@hotmail.com
Allow 3 Weeks for Delivery