MEN S WOMEN

MEN'S

WOMEN'S

Name _________________________________________________________________ Address________________________________________________________________ City/State/ZIP___________________________________________________________ Women's Polo: Size________ Number_______ @ $30.00 each Total $_______________ Men's Polo: Size________ Number _______ @ #30.00 each Total $______________ Men's Polo with pocket: Size _________ Number _________ @ $35.00 each Total $______________ Enclosed please find my check for $__________ made payable to "Team New York Campaign Fund" Please mail your check and this order form to: SUPPORTER POLO SHIRT

171 Harwood Circle Rochester, NY 14625 Thank you for supporting Jim Troiola during his campaign to become our National Commander.

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download