Pusch Ridge Pirates

APPAREL ORDER FORM

Pusch Ridge Apparel Order Form
Please fill out your name, email, phone number and the date below. Clicking send email will send me a copy of your form. Upon receiving the form we will send you a confirmation email and verify your order and the total amount due. Once we have received payment for your order, the items will be delivered to you at the pool.

Name *

First

Last

Email *

Phone

###

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Items For Sale

Please select the item(s) that you would like to purchase. The quantity of an item available is in parenthesis. This will update on a regular basis so make sure to check that we have the size available before placing the order. If you would like more than one of an item please write it in down below. FOR EXAMPLE: if you want two latex caps, select the box for latex, and then in the additional order box write 1 latex cap. If your additional order is a t-shirt please dont forget to indicate color and size. Thank you!

White T-shirt 100% pure cotton.

Select Size

Black T-shirt 100% preshrunk cotton.

Select Size

Grey T-shirt 90% Cotton/10% polyester pre-shrunk.