2005 Houston National Invitational

T-Shirt Order Form

Meet T-Shirts are available at a reduced price prior to February 4, 2005 by ordering and pre-paying with this form. You must pay with a separate check made payable to BGBC. Please do NOT combine this payment with your meet entry fees. Complete the following information and enclose with your check or money order.

Quantity Shirt Size

________ Child Small

________ Child Medium

________ Child Large

________ Adult Small

________ Adult Medium

________ Adult Large

________ Adult X-Large

Total Number of Shirts __________ X $12.00 = __________ Total Amount Due

Please make payment to B.G.B.C.

Payment must accompany form.

Team Name: _______________________________________________________

Person to pick up order: ______________________________________________

FORM DUE BY FEBRUARY 4, 2005

For B.G.B.C. use only:

Team Name: ____________________________________________________________

Signature of person receiving T-Shirts: ________________________________________

Date picked up: __________________________________________________________