CHS – Class of 1967

40^th Year Reunion  
White T-Shirt Order Form

MAIL-IN  ORDER

YOUR CHECK MUST ACCOMPANY THIS FORM OR SHIRT WILL NOT BE ORDERED  

Name _____________________________________________________

Address ___________________________________________________

City __________________State ___________Zip __________________

Phone numbers     _______________hm         ___________wk           ___________cell

E-mail _____________________________________________________

Quantity to order _________

Size(s) _________________

 Each CHS T-Shirt is $12.00 + $5.00 for postage and handling – total $17.00

 Please allow 2-4 weeks for your shirt(s) to be delivered to you.

Thank you for your order.  All proceeds go to the Class of 1967 Reunion Account for future reunions.

Please make check(s) payable to:  CHS CLASS OF 67 REUNION

 Print this form and mail it to:

Valerie Bowles Cobb

1802 Rt. 21

Kenna , WV 25248-9612

Amount Received: _____________________ Date: ________________________