Coulter Hampton
Foundation/ Coulter Hampton Day 2011T- Shirt Order Form
Please indicate how many you would like next to the size shirt you are ordering.
Youth 2-4______
Youth 6-8_______ Youth 10-12____________
A small_______
A medium_______A large_______
A xlarge_______ Adult xxl_______ (Add $1)
We are only delivering shirts to Fairmount
Elementary School. All other shirts must be picked up at Coulter Day
or shipped to you prior to the event for an additional $2 per shirt.
All others are welcome to use our new delivery service! For an additional $2
I will mail the shirt to your home. All mail orders must be received by March 1, 2010.
You also have the option of picking up your shirt at Coulter Day….it
will be reserved for you at the t-shirt booth.
T-shirts: $7 per shirt (please add $1 for xxl)
Name_________________________________________
Total number of shirts ordered __________x $10 ($6 for volunteers)
+__________x $2 per shirt for shipping
+__________x $1 for xxl per shirt
=__________ TOTAL DUE
Make Checks payable to: Coulter Hampton Foundation
113 Mill
Stone Lane
Calhoun,
GA 30701
You must select one of the following or we will assume you will pick up your
shirts at the t shirt booth on March 13th at Coulter Day.
_______ Please deliver my shirt(s) to my Fairmount student.
Student name___________________ Grade_____
Homeroom___________________________
_______I will pick up my shirt on Coulter Day
_______Please mail my shirt to the following address:
Name:
Address:
Phone:
Email:
