Manchester Lodge 200th Anniversary Polo Shirt Order Form Please provide the following information: Your Name: Street Address: Address (cont.): City: State/Province: Zip/Postal Code: Home Phone: E-mail: Pricing is: Small to XL is $30 XXL and above is $35 Enter quantity in front of desired size below: -S -M -L -XL -XXL -Other
Please provide the following information:
Your Name: Street Address: Address (cont.): City: State/Province: Zip/Postal Code: Home Phone: E-mail: Pricing is: Small to XL is $30 XXL and above is $35 Enter quantity in front of desired size below: -S -M -L -XL -XXL -Other
Pricing is: Small to XL is $30 XXL and above is $35 Enter quantity in front of desired size below: -S -M -L -XL -XXL -Other
last updated June, 2009
