| The WV State Bar | ORDER FORM | |||||
| 2006 Kanawha Boulevard, East | ||||||
| Charleston, WV 25311-2204 | ||||||
| Phone 304.558.2456 Fax 304.558.2467 | ||||||
| Bill To: | ||||||
| Name | ||||||
| WV State Bar ID # | ||||||
| Law Firm | ||||||
| Address | ||||||
| City, State ZIP | ||||||
| Phone | ||||||
| QUANTITY | DESCRIPTION | UNIT PRICE | AMOUNT | |||
| _____ | XXXL - WV State Bar Embroidered Navy Polo Shirt(s) | $ 22.00 | $__________ | |||
| _____ | XXL - WV State Bar Embroidered Navy Polo Shirt(s) | 22.00 | $__________ | |||
| _____ | XL - WV State Bar Embroidered Navy Polo Shirt(s) | 20.00 | $___________ | |||
| _____ | L - WV State Bar Embroidered Navy Polo Shirt(s) | 20.00 | $___________ | |||
| _____ | M - WV State Bar Embroidered Navy Polo Shirt(s) | 20.00 | $___________ | |||
| _____ | S - WV State Bar Embroidered Navy Polo Shirt(s) | 20.00 | $___________ | |||
| *SHIPPING $3.95 per shirt | $___________ | |||||
| GRAND TOTAL | $___________ | |||||
| Make all checks payable to "THE WV STATE BAR" | ||||||
| Shirts will be shipped in 4-6 weeks. | ||||||
| If you have any questions concerning this order, please contact | ||||||
| Cheryl L. Wright - 304.558.0828 - cheryl@wvbar.org | ||||||
|
|
||||||