Sam's Rock - Samantha Ann McDonald Lake Cumberland Oct 05 Bowen Sept 25, 2006
 

T-Shirt Order Form

Name
Address
City
State
Zip
phone (Optional)
Email
Pink Youth
Short Sleeve
Pink Adult
Short Sleeve
White Youth
Short Sleeve
White Adult
Short Sleeve
Black Youth
Long Sleeve
Black Adult
Long Sleeve
XS S XS S XS S
S M S M S M
M L M L M L
L XL L XL L XL
  XXL   XXL   XXL
  XXXL   XXXL   XXXL

Additional Information/Comments:

Contact me about speaking to my group or starting a group

Security Code: - Please type in the word "prayer" (no quotes).

A suggested donation of $5 - $10 per shirt payable to Sam's Rock would be appreciated, as our non-profit status is pending. All other donations are also welcome to further our outreach and will become tax deductible once our application is approved. Mail to: Sam's Rock, 2802 Sexton Dr., Louisville, KY 40223.