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Young Hoosier Book Award shirt Order Form

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					                                      Young Hoosier Book Award
                                       2011-12 T-shirt Order Form
The YHBA program is selling T-shirts featuring our contest winner’s design!
  Order one for your participating students and staff members today!
   4   The cost? Just $10.00 each for Youth M to Adult L. Just $12.00 for Adult XL to XXXL.
   4   Sizes available will be Youth M to Adult XXXL.
   4   We must have orders for at least 100 T-shirts statewide to proceed with printing.
       If we do not receive orders for 100 or more T-shirts, all money will be returned.
   4   All orders must be postmarked and prepaid by Friday, April 6th, 2012.
   4   T-shirts will be shipped between May 14 and May 18, 2012.
   4   Rush delivery orders will be shipped between May 1 and May 4, 2012.
   (Additional $5.00 charge)


   Order
       Yes! I would like to order _______ Young Hoosier Book Award T-shirts.

   Please indicate the quantity of each size below:

         Youth:   _____ M   _____ L

         Adult:   _____ S   _____ M    _____ L   _____ XL     _____ XXL    _____ XXXL




   Shipping Information
   Name: ________________________________________________________________________________________

   School/Organization: _____________________________________________________________________________

   Address: ______________________________________________________________________________________

   City, State Zip Code: _____________________________________________________________________________

   Phone: (_______)______________ Fax: (_______)______________ E-mail: _______________________________


   Payment
   Number of T-shirts (Sizes Youth M to Adult L) : __________ x $10.00 = _________________

   Number of T-shirts (Sizes Adult XL to XXXL) : __________ x $12.00 = _________________

   Shipping: 1-5 Shirts $5, 5-10 Shirts $8, 10-25 $10, 25+ $15 = Shipping Total: ___________________

       RUSH DELIVERY - Additional $5.00 (Rush delivery orders will be shipped between May 1 and May 4, 2012.)

                                                                                  Grand Total: ____________________


   Method of Payment
       Check (Made Payable to Indiana Library Federation)       Check Number: _________________

       Purchase Order:      Purchase Order Number: ________________ Contact Person:___________________________

         Contact’s Phone: (______)_______________________ Contact’s E-mail: ________________________________

       Credit Card:      Mastercard       Visa        Discover Card

         Card #: __________________________________________________ Exp. Date: _______________

         Name on Card: ________________________________               Signature: ____________________________________

         Cardholder Phone Number: (______)_______________ Cardholder E-mail:______________________________


                                    Return this form and payment by April 6, 2012 to:
                      Indiana Library Federation • 941 East 86th Street, Suite 260 • Indianapolis, IN 46240
                        Phone: (317) 257-2040 • Fax: (317) 257-1389 • E-mail: finance@ilfonline.org

				
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