Indicate Number of Blue Denim Shirts Below ($40 plus $5 Shipping for Each)
Men's	Small Medium Large
Woman's	Small Medium Large
Indicate Number of White Golf Shirts Below ($35 plus $5 Shipping for Each)
Men's	Small Medium Large
Woman's	Small Medium Large
Ship To:
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Street Address:
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Make check payable to Barbara T. Quigley and mail this order form and the check to Barbara at:

Barbara T. Quigley
112 Lyons Lane
Chestertown, MD 21620