Westercon 54 T-Shirt Form

T-Shirt prices are as follows:

All prices are in US dollars. Make checks payable to "Westercon 54."

Please print out this form, fill it out, and mail it with your payment to:

Westercon 54
P.O. Box 5901
Portland, OR 97228-5901

Name _____________________________________________________________ Address __________________________________________________________ City/State _______________________________________________________ ZIP/Postal Code __________________ Phone ________________________ E-Mail Address ___________________________________________________
_______ Small shirt(s) @ $15 = $________ _______ Medium shirt(s) @ $15 = $________ _______ Large shirt(s) @ $15 = $________ _______ XL shirt(s) @ $15 = $________ _______ XXL shirt(s) @ $17 = $________ _______ XXXL shirt(s) @ $17 = $________ Shipping: First shirt @ $2.25 = $________ Additional shirts @ 1.25 = $________ TOTAL . . . . . . . . . . . . . $________

Return to the Westercon 54 Home Page