Swag | Delco Line Dancing

DLD T-SHIRT ORDER FORM

Please complete 1 form per person.

First Name

Last Name

E-mail Address

Main Phone

Please select a shirt style.

Men's Basic T-Shirt ---- (S-XL = $24.00 / 2XL = $26.00 / 3XL = $29.00)

Women's Basic T-Shirt ---- (S-XL = $24.00 / 2XL = $26.00)

Youth's Basic T-Shirt ---- (Youth XS-Youth XL = $23.00)

Women's V-Neck ---- (S-XL = $30.00 / 2XL = $33.00)

Women's Tank Top ---- (S-XL = $37.00 / 2XL = $40.00)

Size

Quantity

Shipping Address

Please select a method of payment.

Cash

Check

All forms of payment (cash or check) should be delivered to Keith and Nicky Riess at one of our weekly dance events (St. Stephen's Episcopal Church in Norwood, PA or St. Michael's Mutual Club in Gibbstown, NJ). Please make all checks payable to: Keith A. Riess.

Thank you for your submission!

(484) 321-3116

DLD T-SHIRT ORDER FORM