Grow Our Own Shirt Order Form

Grow Our Own Shirt Order Form

Please make sure to fill in the required fields and submit this form to complete your order. LAST DAY TO ORDER FRIDAY, AUGUST 25TH.
You will be notified when your shirt is ready for pickup at Memorial Hospital. Local delivery is available upon request.

All funds raised from shirt sales will benefit the Memorial Hospital Foundation "Grow Our Own" Scholarship Campaign, supporting our staff in reaching their own personal and professional goals.
Products*
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GILDAN SHORT-SLEEVE - $25
$25.00 QuantityColorT-Shirt Size



YOUTH GILDAN SHORT-SLEEVE - $25
$25.00 QuantityColorT-Shirt Size



BELLA SHORT-SLEEVE- $30
$30.00 QuantityColorT-Shirt Size



BELLA LONG-SLEEVE - $35
$35.00 QuantityColorT-Shirt Size



GILDAN CREWNECK SWEATSHIRT -$40
$40.00 QuantityColorT-Shirt Size



Total

$0.00
Full Name*

First NameLast Name
E-mail*
example@example.com
Contact Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Special Instructions

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.