Greater Madison Valley Community Council
T-Shirt Order Form

Please print this page; fill it out and mail to
the address below along with payment.

Name:___________________________________________

Address:_________________________________________

Zip:_____________________

(opt.) Phone: _____________________________________

(opt.) Email:______________________________________

 T-Shirts: $12 ($10 each + $2 postage):

Specify quantity of S(____)  M(____)  L(____) XL (____)

at $12 each for a total of $______ (enclosed)

Please make checks payable to
Greater Madison Valley Community Council
and mail to:

GMVCC,
P.O. Box 22278
Seattle, WA 98112