President’s Men Chapter Rewards
1. Name: _____________________________________ Size: M L XL XXL
Address: ____________________________________________________________
Email: ______________________________ Phone: _______________________
( ) Check ( ) Visa ( ) Mastercard ( ) Discover ( ) American Express
#: _______________________________ Exp. Date: ____________ CVV: _______
Signature: ____________________________________________
2. Name: _____________________________________ Size: M L XL XXL
Address: ____________________________________________________________
Email: ______________________________ Phone: _______________________
( ) Check ( ) Visa ( ) Mastercard ( ) Discover ( ) American Express
#: _______________________________ Exp. Date: ____________ CVV: _______
Signature: ____________________________________________
3. Name: _____________________________________ Size: M L XL XXL
Address: ____________________________________________________________
Email: ______________________________ Phone: _______________________
( ) Check ( ) Visa ( ) Mastercard ( ) Discover ( ) American Express
#: _______________________________ Exp. Date: ____________ CVV: _______
Signature: ____________________________________________
4. Name: _____________________________________ Size: M L XL XXL
Address: ____________________________________________________________
Email: ______________________________ Phone: _______________________
( ) Check ( ) Visa ( ) Mastercard ( ) Discover ( ) American Express
#: _______________________________ Exp. Date: ____________ CVV: _______
Signature: ____________________________________________
5. Name: _____________________________________ Size: M L XL XXL
Address: ____________________________________________________________
Email: ______________________________ Phone: _______________________
( ) Check ( ) Visa ( ) Mastercard ( ) Discover ( ) American Express
#: _______________________________ Exp. Date: ____________ CVV: _______
Signature: ____________________________________________
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Triangle Education Foundation
120 South Center Street, Plainfield, IN 46168
(317) 837-9641
President’s Men Chapter Sign Up Form
Chapter Leader: _______________________________________________
Email: _______________________________________
Phone: ___________________________ Chapter: ___________________
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