North Central Florida LEPC
Shirt Order Form

Make check to:

Central Monogramming
3534 NW 97 Blvd.
Gainesville FL 32606

352-332-1259 - phone
352-332-2113 - fax

Deadline for first batch:
August 22, 2003

Shirts will be delivered to
Regional Planning Council

Outer Banks White Polo Shirt
100% Cotton

Call Dwayne Mundy at 352-955-2200
ext. 108 with any questions

Size (small - 4X):

Name:

Organization:

Phone:

email:

$ 25.00 - Shirt
$ 1.50 - Tax

$ 26.50 - total
per shirt