SALUS/PCO T-SHIRT SALE Name________________________________________Phone___________________ [sign & print] Credit Card #_________________________________ Expiration Date__________ Please note that charge will appear as “MATTHEWS SALUS” on your statement! Billing Address_________________________________________________________ City, State_________________________________________ Zip________________ Quantity & Size: S___ M___ L___ XL___ XXL___ (add $2.00) $14.95 each Order forms must be submitted by Monday, March 3, 2014, to ensure timely delivery. T-shirts will be distributed at the Salus University booth at SECO. Please complete form & e-mail to [email protected] or fax to 215.780.1294. Late orders will be subject to a shipping charge, and your order will need to be shipped if not received by date specified. Clothing can be exchanged for size within 7 days only if unwashed & unworn. Salus University Bookstore 8360 Old York Rd. Elkins Park, PA 19027 215.780.1295 phone 215.780.1294 fax [email protected]
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