Total Sub T-Shirt Price $10.00

Please Fill Out Form Entirely. Please Print Clearly.
Be Sure to List the Quantity of Each Shirt Size in the Appropriate Box.
Specify the *Shirt Design Type for Each Shirt : “Mom,” “Dad,” or “Parent.”
Checks Only Please. Make Checks Out To: UWEC/RHA
Turn in Check and Order Form at: Registration, Saturday Night Dinner, or Sunday Brunch
T-Shirt Price
Shirt Size
$10.00
Small
$10.00
Medium
$10.00
Large
$12.00
XL
$14.00
$14.00
XXL
XXXL
Total
Number of
Shirts
Sub
Total
Cost
Number of
Each Shirt
Specify
Design Type
for Each Shirt
Size *
Hooded
Sweat Shirt
Price
$20.00
$20.00
$20.00
Shirt Size
Small
Medium
Large
$22.00
$24.00
$24.00
XL
XXL
XXXL
Total
Number
of Shirts
Sub
Total
Cost
Grand
Total Cost
$
Number of
Each Shirt
Specify
Design Type
for Each Shirt
Size *
Blugold Mom, Blugold Dad, or Blugold Parent
Total # of
Shirts
Parent Name:_______________________________
Parent Phone Number:__________________________
Parent Email Address:________________________
List Check Number:_____________________________
Student’s Name:____________________________
Student’s Campus Address:______________________
Student’s Email:____________________________
Student’s Phone Number:________________________
All shirts will be delivered to your student’s on-campus address.
A confirmation email will be sent to parent and student upon delivery.
Students living off campus will need to visit Towers South: 137 to pick up the shirts.