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Order Submitted By: (your name)

Email Address:

Type of order

Individual order paying by check  

(*** Please note - All orders will receive an email confirmation including total amount due and approximate delivery date and location ***)

Ladies Shirt Order Details:

Style #    Port Authority Ladies Stretch Poplin

Quantity/Sizes (Sizes: XS-2X)

Example:  4 XS -  Blue

Colors:  White; Black; Blue; Stone

Pricing

* Tax not included

Special Instructions (such as rush delivery - there may be an additional shipping charge)

***If you would like to place an additional order please return to this page after hitting the submit button below and click on continue shopping***