Booster Club Shirt Order Form
This is your opportunity to order a “Rochester Americans Booster Club Shirt.”
The shirt is from Alphonse’s Sports, 123 Vollmer Parkway, Rochester N.Y. 14623

Small, Medium, Large, and Extra Large We have Polo shirts short sleeve or for a little
more long sleeve. Cost of shirts range from $20.00 -$27.00 depending on sleeve length, 
size and color.

On web site is the embroidery sample of logo.
 
The shirts are Adult Polo Shirts 50/50 Blend (Little Shrinkage)
Color Choices: Red, White or Blue
Short sleeve using contrasting threads (3 Colors)

Special orders see or call Gary Schaeffer at 585-334-5080
Send completed form with your check to:
Gary Schaeffer, 32 Green Clover Dr., Henrietta, NY 14467 or cash accepted at June meeting.

Please make all checks payable to: Gary Schaeffer
All orders are prepaid and non-refundable                                              
If a check is returned there will be a $20.00 charge.

Order Form
*********************************************
Name:______________________
Phone Number:   (      )-(      )-(          )
Color:   Red   White   Blue    (circle one)
Size:   Small   Medium   Large   Extra Large   2X add $1.00   3X add $2.00   4X add $3.00                           
(circle one)
Quantity _____________________
*********************************************
Name:______________________
Phone Number:   (      )-(       )-(         )
Color:   Red   White   Blue    (circle one)
Size:   Small   Medium   Large   Extra Large   2X add $1.00   3X add $2.00   4X add $3.00                           
(circle one)
Quantity _____________________
*********************************************
Orders taken until November 1, 2009- delivery on or after November 12, 2009

Send completed form with your check to:
Gary Schaeffer 32 Green Clover Dr., Henrietta, NY 14467 or cash accepted at June meeting.
Please make all checks payable to: Gary Schaeffer
All orders are prepaid and non-refundable
If a check is returned there will be a $20.00 charge

Total Quantity of Order: ___________________
Total Amount Paid:   $______________
Order Taken by:   _________________________