Please complete the following information. *Indicates that a field is required.
   
*First Name:
   
*Last Name:
   
*Company
   
*Address
   
*City
   
*State: *Zip:  
   
*Phone
   
*Email:
   

 
Shipping and Handling Charges $10.00*
*Please note that if you would like your items mailed to you, a $10.00 charge will be included to cover postage and handling. However, if you prefer, you may pick up your items at The Chamber and avoid the $10 charge
  Yes, include shipping and handling. (Allow 2-4 Weeks)
  No, I will pick up my merchandise at The Chamber. (Allow 4-6 Weeks)

  Women's Polo *If ordering more than one size, enter that information into the comments section below.
  Check to order  
Women's size Small - XL $27.00
Women's size 2X - $28.00
 
 
Men's Polo Men's size Small - XL $27.00
Check to order Men's size 2X - $28.00
Men's size 3X - $29.00
 
   

Jean Shirt
  Women's Jean Shirt *If ordering more than one size, enter that information into the comments section below.
Check to order  
Women's size Small - XL $20.00
Women's size 2X - $21.00
 
   
Men's Jean Shirt  
Check to order Men's size Small - XL $20.00
Men's size 2X - $21.00
Men's size 3X - $22.00
 
   

Sweat Shirt
  Sweatshirt *If ordering more than one size, enter that information into the comments section below
Check to order
 
Size Small - XL $15.00
Size 2X - 3X $17.00
   
   
   

Payment information:
If you choose to pay by credit card, once you submit this form, you will be directed to a secure area of our Web site, where you may enter your name and credit card information. If you would like to make alternate payment arrangements, such as invoicing your company, or check, please note that information in the comments section below. Do not enter sensitive information regarding credit cards, etc. in the comments section!
 

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