Abruzzo and Molise Heritage Society

The Abruzzo and Molise Heritage Society
of the Washington, D.C. Area

AMHS LOGO POLO SHIRT ORDER FORM

Model A - Enlarge

Model B - Enlarge

AMHS Logo Polo Shirt
Model A
MATERIAL: 53% combed cotton
47% polyester "EDRY" tm fabric
COLOR: light blue
MEN's sizes: S / M / L / XL
WOMEN's sizes: M / L / XL

PRICE: $25 + $3 postage

AMHS Logo Polo Shirt
Model B
MATERIAL: 60% cotton
40% polyester regular fabric
COLOR: light blue

WOMEN's sizes (only): M / L

PRICE: $20 + $3 postage

Complete one line below for each Polo Shirt being ordered:

MODEL (enter A or B):     (M or W):    (SIZE):    (PRICE):

MODEL (enter A or B):     (M or W):    (SIZE):    (PRICE):

MODEL (enter A or B):     (M or W):    (SIZE):    (PRICE):

MODEL (enter A or B):     (M or W):    (SIZE):    (PRICE):

TOTAL POLO SHIRTS:     Total Price:

Ship to: Name:

Address:

Phone:

Email:

Please Add $3 for Postage and Handling for each Polo Shirt.
Make check payable to: AMHS
Richard DiBuono
5660 Ridge View Drive
Alexandria, VA 22310