(PLEASE MAKE CHECKS PAYABLE TO )              
           TRI-COUNTY OHIO STATE ALMUNI CLUB

          WHITE         RED                                   TOTAL HATS
HATS          _______        ______                               ____________     X $16.00 = ________
                  WHITE         RED                                   TOTAL VISORS
VISORS      ________    _______                                   ______________X $15.00 = ________  
                                               SHIRTS
 MENS        WHITE         RED                       
    SMALL        _______      _______                        TOTAL SMALL X $28.00  _________             
    MEDIUM      _______      _______                        TOTAL MEDIUM X $28.00  _______
    LARGE        _______      _______                         TOTAL LARGE X $28.00  _________
    XL               _______      _______                         TOTAL XL       X $28.00   _________
    XXL             _______      _______                         TOTAL XXL      X $29.00  ________
WOMENS      WHITE        RED
     SMALL      ________      _______                        TOTAL SMALL X $28.00    ________   
     MEDIUM    ________     ________                       TOTAL MEDIUM X $28.00 ________
     LARGE       ________     ________                       TOTAL LARGE  X $28.00 _________   
     XL             _________   _________                       TOTAL XL         X $28.00  ________
     XXL          _________    _________                       TOTAL XXL       X $29.00  ________
                                            WINDBREAKERS
                        NYLON SHELL WITH SNAP FRONT. UNISEX  RED OR BLACK

SMALL____  MEDIUM_____  LARGE____  XL_____     TOTAL           X $35.00  _______

XXL_____    XXXL ______                                          TOTAL           X $37.00 ________   

OPTIONAL MONOGRAMMING FOR SHIRTS OR WINDBREAKERS  SPECIFY BELOW
                                                                          TOTAL MONOGRAMS X $3.00 ______      
                                                                         GRAND TOTAL                    _________

______________________________________   ____________________  ______________________
             NAME                                                                         PHONE                              EMAIL

MONOGRAMING INFORMATION
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PLEASE PRINT AND BRING TO NEXT GAME  OR MAIL TO : GEORGE HURN  603 E7NCONTO ST.
LADY LAKE, FL 32159   QUESTIONS 7503300 OR EMAIL GHURN@COMCAST.NET  ALLOW 4 WEEKS FROM TIME OF PAYMENT.