If you prefer to order by postal mail, click here to print the form (after you open the page, right click on that page and select print, or choose print from the menu above) and mail to Kayleen Logan, 3513 Santa Ana Drive, Rock Springs, WY 82901.
Make your check payable to WSQG. The form will also be available in Patchwords.

Name *

First

Last

Email *

Shipping Address on July 10, 2021 *

Address Line 1

Address Line 2

City

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Zip Code

Phone *

T-Shirt Quantity - Price includes shipping and small service charge. *1 - $ 26.002 - $ 51.503 - $ 77.00

T-Shirt Size - Prices Include Shipping & Small Service Charge *Select SizeSmallMediumLargeXL2XL3XL4XL

Second T-Shirt Size - Prices Include Shipping & Small Service Charge *Select SizeSmallMediumLargeXL2XL3XL4XL

Third T-Shirt Size - Prices Include Shipping & Small Serivce Charge *Select SizeSmallMediumLargeXLXXL3XL4XL

Total *

$ 0.00

Comments/Questions:

Payment Options *

• PayPal
• Credit Card

Stripe Credit Card - Do not enter spaces they will appear when number is entered. *

Card

Name on Card

Phone

Purchase