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ORDER FORM - RP2C Polo Shirts with
Custom Embroidery
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rev 11-11-13c
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1. Billing/Shipping Information
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Club or District Name *
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* = required field
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Ship-to Street Address (no PO Boxes) *
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City *
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State/Province *
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Zip *
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Name *
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E-Mail *
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Phone *
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Fax
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Special Instructions
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Date Needed *
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I authorize expedited shipping if required
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There is a
one time $15 embroidery tape charge on all initial orders.
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The charge
will be waived on single orders of 25 or more shirts or exact repeat of an
existing design.
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This is an EXACT repeat of an existing design
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2. Embroidery Instructions
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The Rotary Emblem will be gold & blue. Dark shirts
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Line 1: *
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Line 2: *
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More than 2 lines adds $1 per line to the cost of
each shirt
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Add $1/shirt
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Add $1/shirt
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Line 3:
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Line 4:
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3. Choose a Style
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Choose a style and then click 'Next' to continue
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