2004 Houston National Invitational
T – Shirt Order Form

Meet T-shirts are available at a reduced price prior to February 4, 2004 by ordering and pre-paying with this form. You must pay with a separate check (checks going to different parties). You cannot combine this payment with your meet entry fees. Complete the following information and enclose with your check or money order made payable to “HGC Booster Club”.

Shirt Size Quantity
Child Medium ________
Child Large ________
Adult Small ________
Adult Medium ________
Adult Large ________
Adult X-Large ________

Total Number of Shirts ________ X $12 = ________ Total Amount Due

Please make payment to “HGC Booster Club”.

Payment must accompany form.

Team Name: _____________________________

Person to pick up order: ____________________

Form due by February 4th !

_________________________________________________________________________
For HGCBC use only.

Team Name: ______________________

Signature of person receiving T-shirts: _____________________