#HainesStrong Merch Order Form
All proceeds going to the Haines family! Rep your support today! Orders will begin to be fulfilled the week of June 22nd. Please ensure an accurate phone number is included to coordinate pickup of shirts/decal! Local Pick-Up only
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
#HainesStrong Gear
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( X )
#HainesStrong T-Shirt (Charcoal)
$20.00
$
20.00
Size
Quantity
Price
XS
1
2
3
4
5
6
7
8
9
10
$20.00
$
20.00
S
1
2
3
4
5
6
7
8
9
10
$20.00
$
20.00
M
1
2
3
4
5
6
7
8
9
10
$20.00
$
20.00
L
1
2
3
4
5
6
7
8
9
10
$20.00
$
20.00
XL
1
2
3
4
5
6
7
8
9
10
$20.00
$
20.00
2XL
1
2
3
4
5
6
7
8
9
10
$24.00
$
24.00
3XL
1
2
3
4
5
6
7
8
9
10
$24.00
$
24.00
Item subtotal:
$0.00
$
0.00
#HainesStrong 6" Decal
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Methods
Choose from one of the PayPal options to
make your payment.
Submit
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