Name:_________________________________________________
Street Address:__________________________________________
City:_______________________ State:_____ Zip:_____________
Order
T-Shirts: ___________ $10.00 / per shirt _____Size _____Quantity
Sweatpants: ___________ $25.00 / per shirt _____Size _____Quantity
Sweatshirts: ___________ $30.00 / per shirt _____Size _____Quantity
Winter Jackets:___________ $150.00 / per jacket _____Size _____Quantity
Spring Jackets:___________ $70.00 / per jacket _____Size _____Quantity
Beanies: ___________ $12.00 / per jacket _____Size _____Quantity
Total Price: $__________ / per all + Shipping Cost $5.00
Total: $____________ Total Quantity: ____________
Make all Checks out to MSUM Wrestling Checks / Money orders only No Cash
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Mailing Address
Keenan Spiess
Minnesota State University Moorhead
Nemzek Hall Rm 136C
1104 7th Ave South
Moorhead, MN 56563 USA
Phone: (218) 477-2309
E-Mail:
spiess@mnstate.edu
Customer Copy
Date:_____________ Check #:_______
Total Quantity:___________________
Total Cost + Shipping: $_____________
Make Sure Check Is With Returned Form