T-Shirts HCRJ T-Shirts Order Form Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Youth X-Small Price: $15.00 Quantity: Youth Small Price: $15.00 Quantity: Youth Medium Price: $15.00 Quantity: Youth Large Price: $15.00 Quantity: Adult Small Price: $15.00 Quantity: Adult Medium Price: $15.00 Quantity: Adult Large Price: $15.00 Quantity: Adult X-Large Price: $15.00 Quantity: Adult XX-Large Price: $15.00 Quantity: Would you like to add a 3% additional fee to help us defray credit card fees? Yes No Coverage for 3% Credit Card Processing Price: $0.00 Total $0.00
