U of M Club of Greater Phoenix

Club Polo Shirt Order Form

Print out this form, fill it in, enclose your check and mail to:

Penny Pease
University of Michigan Club of Greater Phoenix
2054 E. Ranch Rd
Tempe, AZ 85284

Make check payable to:University of Michigan Club of Greater Phoenix

Address:____________________________________________________

City:_____________________________ State:_________ Zip:_________________

Home Phone:_______________________

Work Phone:__________________________

E-Mail address:______________________________________________

Please inquire about sizes and colors we have in stock.

Size	Quantity
Small Medium Large X-Large XX-Large	_____ _____ _____ _____ _____

Shirts are $25 each, plus $5 shipping.

Enclosed is $_________