Alert Hose Co. Gear - Order Form 

Print out this form , fill in the information, and mail to the address below.

Send To:
Tee-Shirt Sales
P.O. Box 88
Adams, MA 01220 - 0088

*Make checks payable to Alert Hose Co.

SIZE

DESCRIPTION OF ARTICLE

PRICE EACH

QTY.

TOTAL

Children’s Medium

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

Adult Small

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

Adult Medium

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

Adult Large

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

Adult X-Large

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

Adult 2X-Large

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

Adult 3X-Large

“Pride of the Alerts” Tee-Shirt

15.00 12.00

 

 

 

 

 

 

 

One Size

Company Patch

5.00

 

 

Shipping and handling charges are included for US customers.  For customers outside the US, please add $3.00 per item.

Please, NO personal checks.  We accept bank checks and money orders ONLY. We ship via USPS Priority Mail. Please allow 2-3 weeks for delivery.

SUB TOTAL

 

 

ADD S&H +3.00
(outside US)

 

 

TOTAL

 

 

.

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