T-Shirt Order Form (Print)

Please allow 2 to 3 weeks for delivery within the U.S. (3 to 4 weeks outside the U.S.).

Title: Mr/Ms/____ First Name:_________________ Last Name:______________________

Street Address:__________________________________________________ Apt: ________

City:_____________________________________ State:________ Zip:_________-_______

In case we have a question about your order, please provide us
with the following information:

Phone: (______)_________________  Email address:_______________________________


MEMBERS ONLY:

    Membership Number: #_______

    I [Skate] NY design:
         first t-shirt ($15): $_______  Size (S/M/L/X):_______
        second t-shirt ($12): $_______  Size (S/M/L/X):_______


NON-MEMBERS:

    I [Skate] NY design:
         first t-shirt ($20): $_______  Size (S/M/L/X):_______
        second t-shirt ($15): $_______  Size (S/M/L/X):_______

TOTAL:

      OVERSEAS shipping ($5): $_______

              TOTAL ENCLOSED: $_______