2011 International Shirt Order Form

	LIONS MULTIPLE DISTRICT 24 INTERNATIONAL SHIRT ORDER FORM

Please indicate your preferences and size of the shirt on the form below and return, with your payment to Lion Tammie Brightwell (No later than April 1, 2011). Shirts will be delivered at the Virginia Lions State Convention in Richmond, VA on May 19-22, 2011. Shirts can be ordered in White or Navy Blue with or without pockets and please indicate MEN or LADIES.
Mail Form and Check to:
Lion Tammie Brightwell
MD 24 Secretary/Treasurer
5004 Colonial Avenue, S. W.
Roanoke, VA 24018-3916
Phone: 540-774-2495		Email: LIONVA@VERIZON.NET
Make checks payable to Lions of Mutiple District 24
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The Order Form is an interactive form. This means that a person can place their mouse pointer in the box adjacent to the question and type in the requested information. At the District letter, the shirt discriptions and the Amount Enclosed, place the mouse pointer over the down arrow and select the option you want. When the Shirt Order form is completed one can go to the bottom right side of the form and click on "Click to print this page" and follow the instructions on the screen.
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2011 INTERNATIONAL SHIRT ORDER FORM
Name:
Lions/Lioness Club: Sub - District
Street:
City State Zip
Phone Email
Ladies Shirt Sizes Style Sub-Total Shirts
Men's Shirt Sizes Style Sub-Total Shirts
NO ORDERS AFTER APRIL 1, 2011		Total $ Amount Enclosed

Make check payable to Lions of Virginia Multiple District 24 and mail check and this form to Lion Tammie Brightwell, MD 24 Secretary/Treasurer, 5004 Colonial Ave, S. W. Roanoke, VA 24018-3916. Phone: 540-774-2495. Click on Lion Tammie Brightwell's name to email her.
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