Rajah News - December '21

2022 RAJAH SHRINE SHIRT
ORDER FORM
NOBLE’S SHIRTS
Navy Blue Cotton/poly pique Polo Shirt, Flat knit
collar and cuffs, 3-button placket with buttons,
Left chest pocket (If available) and side vents.
Med $26 ___ Large $26 ___ XL $26 ___
2X $28 ___ 3X $30 ___ 4X $32 ___
Additional $ 3.00 - If you would like your name embroidered on the Left Sleeve
Please Embroider Name : ____________
LADY’S SHIRTS
Navy Blue Cotton/poly pique Polo Shirt,
Flat knit collar and cuffs, 4-button
placket with buttons and side vents.
The shirt tends to run a little tight, so if you
are not sure please order the next size up.
Small $17 ___ Med $17 ___ Large $17 ___ XL $17 ___
2X $19 ___ 3X $21 ___ 4X $23 ___ 5X $25 ___
________ I will pick up my shirt (s) at Rajah Shrine Office
________ Please mail my shirt (s) for an EXTRA $4.00 per shirt.
NAME: ______________________________________
PHONE: __________________
ADDRESS: ________________________________________________________________
CITY: ____________________________________ STATE: ______ ZIP: ____________
Mail completed form and check payable to : RAJAH SHRINE
PO Box 40, Blandon, PA 19510 Phone: 610-916-9000
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