Polo Order Form

							(Add logo here)                                          Cincinnati Regional Chapter
                                                         U.S. Green Building Council
                                                              Polo Shirt & Cap Order Form



                                    Quantity      Unit Cost        Cost
WHITE POLO SHIRTS                                                                           Date:
  MEN                                                                                       Ordered by:
          Small (S)                                 $29.00                                  Name:

          Medium (M)                                $29.00                                  Address:

          Large (L)                                 $29.00                                  City, State & Zipcode:

          Extra Large (XL)                          $29.00                                  Daytime Phone #:

          Extra Extra Large (XXL)                   $32.00                                  Home Phone #:

          Triple Large (3XL)                        $34.00                                  E-Mail:


        WOMEN                                                                               Deliver to:                        Check here if the same as above:

          Small (S)                                 $29.00                                  Name:

          Medium (M)                                $29.00                                  Address:

          Large (L)                                 $29.00                                  City, State & Zipcode:

          Extra Large (XL)                          $29.00                                  Daytime Phone #:

          Extra Extra Large (XXL)                   $32.00                                  Home Phone #:

          Plus (1X)                                 $34.00                                  E-Mail:

          Plus (2X)                                 $37.00



CAPS                                                                                        Payment:
     One Size Fits All                              $11.00                                  Cash

                                                                                            Check made payable to USGBC Cincinnati Regional Chapter

Sub-total:
                                                                                            Mastercard # & Exp Date
Tax (6.5%)                                                    Included Above
Shipping & Handling:                                                   $5.50                Visa # & Exp Date

TOTAL:                                                                                      American Express # & Exp Date


Orders can e-mailed to Bill Martin at bmartin@tcco.com




                                                                               Order Form