3650 Lander Road, Pepper Pike, Ohio 44124
Phone 216.831.1566
Fax 216.831.9299

Polo Shirt Order Form
(Printed Version)

Name:

_______________________________________

Address: _______________________________________
Phone Number: _______________________________________
Ladies Polo (no buttons)       Note: other colors available- contact terry@garfieldchurch.org for more information  
Pink   Beige      
Size Quantity Size Quantity
Small ____ Small ____
Medium ____ Medium ____
Large ____ Large ____
XL ____ XL ____
2XL ____ 2XL ____
Mens Polo          
White   Beige   Black  
Size Quantity Size Quantity Size Quantity
Small ____ Small ____ Small ____
Medium ____ Medium ____ Medium ____
Large ____ Large ____ Large ____
XL ____ XL ____ XL ____
2XL ____ 2XL ____ 2XL ____
3XL ____ 3XL ____ 3XL ____
4XL ____ 4XL ____ 4XL ____
Cost /Shirt          
  Small - XL $25.00 3XL $28.00  
  2XL $26.50 4XL $29.00  
Total Order          
  Number of Shirts: ____ Total Cost ($) ________  

please make checks payable to Garfield Memorial UMC