Long Sleeve Shirt Request

2025- Torch Run Long Sleeve Shirt Order Form
Order Date*

MonthDayYear
Date
Need order by this date (optional)

MonthDayYear
Date
(Please allow 10 days for delivery.)
ORDER DETAILS (Enter Quantity by Size)

All shirts are $20 and MUST be PRE-PAID before order will be shipped.
Small
Med
Large
XL
XXL
3XL
Total Quant.
Balance Due
SHIPPING DETAILS
Contact First Name*
Contact Last Name*
E-mail Address*
Phone Number*
Extension
Agency*
Street Address (no PO Boxes)*
City*
State*
Zip Code*
This address is a:*

Business, School or FacilityResidence
PAYMENT DETAILS
Select an option*

Online credit cardSending check

Credit Card Info

USDLETR Apparel

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

* Total order must be at least 12 shirts. Weekly orders will be placed on Thursdays for requests received by noon. Call-in orders will not be accepted. Please verify your shirt order once received. Notify us if there is a discrepancy by calling Crystal at 573-635-1660.

** If you chose to pay by check, you must contact Crystal to tell her the check is on the way. Shirts will not be ordered until Crystal hears from you.
Should be Empty:

2025- Torch Run Long Sleeve Shirt Order Form