Order Chapter Shirt

Here is a sample of the shirts we will be ordereing for AFSA Chapter 1179.  If you want a shirt, fill out the form below the picture and if you wish to pay online, click the link below the form.   If the "SPAM" code is not visable, click submit and it should come up.                                     

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Name *
E-mail Address *
Phone Number *
Shirt Size *
Color of Shirt * Tan/Navy
Wine/Black
Red/Black
Name on Shirt
Number of Shirts *
Method of Payment *

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