<%@LANGUAGE="JAVASCRIPT" CODEPAGE="65001"%> Fundraiser Order Form

 

Print, fill out and mail to:

Chris Lawenstein
5839 W. Dakin St.
Chicago, Il. 60634

Bobby Sherman Volunteer EMT Foundation Fundraiser

Amount

Item

   Cost

Donation
 

Peace Officer/Bobby Angel Ornament
($10 cost PLUS $10 donation)

    
 

Still Sexy at Sixty T-Shirt
($10 cost PLUS $10 donation)
Size:______________

    
 

Still Sexy at Sixty Poster
($5 cost PLUS $5 donation)

    
 

Bobby Angel T-Shirt
($10 cost PLUS $10 donation)

Size:______________

    
 

Total Check to Chris Lawenstein

    
 

Total Check to Bobby Sherman Volunteer EMT Foundation

    

Deadline to order:  December 15, 2003