DORBA 2004 Jersey Pre-Order Form

  • Print out and complete the form (please print).  Include check payable to 'DORBA' 
  • Pre-orders due on or before July 30, 2004.
  • Send to:
      Debbie Stokes
      DORBA Merchandise
      2413 Roundrock Trail
      Plano, TX 75075
  • Delivery Options:
      Mail Order (see postage/handling info below)
      Pick Up at Monthly DORBA Meeting

    • All jersey's are short sleeve, manufactured By Louis Garneau

    First Name  
    Last Name  
    Street Address  
    City & State  
    Zip   Phone  
    E-mail Address  
    Quantity
    Style  Pro Fit Relaxed Fit
    Size (Circle one) XS S M   XL 2XL 3XL
    Style  Pro Fit Relaxed Fit
    Size (Circle one) XS S M   XL 2XL 3XL
    Style  Pro Fit Relaxed Fit
    Size (Circle one) XS S M   XL 2XL 3XL
    Total Quantity (a)  
    Cost (b) (a) x $55.00 = $
    Postage (c)
    (see below for cost)    		 $
    Total Due (b) + (c) = $

    NOTE: Postage Costs = $5.00 for the 1st item, $2.00 for each add'l item

    If you have any questions, please contact Debbie Stokkes at merchandise@dorba.org