Make-A-Wish Order Form

T-SHIRT & DONATION ORDER FORM

Game Day: 2/6/26. Shirs till be ready for pickup 24 hours after purchase. Thank you for your donation!
Name*

First NameLast Name
Email Address*
example@example.com
Pick up options*
T-Shirt Size and Quantity

100% of proceeds go to Make-A-Wish.

Make-A-Wish T-Shirt $15.00

Click image to see front/back

Item subtotal:$0.00

I would like to make a donation!$15.00

I would like to make a donation! $25.00

I would like to make a donation! $50.00

I would like to make a donation! $100.00

I would like to make a donation! $250.00

I would like to make a donation! $500.00

Total $0.00

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

Lutheran High School South | 9515 Tesson Ferry Rd. St. Louis, MO 63123 | 314-631-1400
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T-SHIRT & DONATION ORDER FORM