Merchandise Order Form
Fill out form and print out and mail order with Check or
money order to address below.


T-shirts:                                                  
# of Navy             Shirt sizes S       Lg       M        ExLg
# of White                       Total  shirts                     $               (Navy or White/w red/whit/blue logo
$12 each  small-ex-large + Shipping   $3 each
Caps:   (quality cotton twill)

# of Navy
# of White                      Total caps                         $

(Navy or White/w  red/white/blue logo
$7 each + Shipping  $ 2  each
                                  Total Submitted           $
Name:

Address:

City:

State:

Zip:

Phone #                                          Including area code

email:

Allow 4 weeks to receive order
(Merchandise will be shipped after we receive your payment )
Send order to:
Southern Missouri Bluegrass
5242 County Road 8800                       417-256-7494
West Plains, Mo. 65775                      smb@southernmobluegrass.org
Thank You!!!
Check #