Juneteenth Order Form
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
prev
next
( X )
Juneteenth CFJ
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Color
Black Tshirt
White Tshirt
Size
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$
0.00
Juneteenth BF
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Color
Orange Tshirt
White Tshirt
Size
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$
0.00
Juneteenth World
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Color
Black Tshirt
White Tshirt
Size
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$
0.00
Divine 9
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
ALPHA PHI ALPHA
ALPHA KAPPA ALPHA
KAPPA ALPHA PSI
OMEGA PSI PHI
DELTA SIGMA THETA
PHI BETA SIGMA
ZETA PHI BETA
SIGMA GAMMA RHO
IOTA PHI THETA
Size
XS
S
M
L
XL
XXL
XXXL
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: