Jim Kilburg Scholarship T-Shirt Form
$25 per shirt — all profits will be donated to the JK Scholarship Foundation!
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Number of T-Shirts ($25 each)
*
Please Select
1
2
3
4
5
6
7
8
Size: Please include the quantity of the size chosen (ex. 1 Ch. Sm., 2 Adult M)
*
Sizes: Child Small, Child M, Child L, Adult Small, Adult M, Adult L, Adult X
Payment Choice
*
Please Select
Venmo (@epape)
Cash
Check (made out to Emily Pape)
Thank you!
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Submit
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