Custom Order Opportunity! Orders Due November 30 NEW: ITLS Oxford Shirts Order NEW Embroidered ITLS Oxford Shirts today! Men’s and women’s options available. Note that all orders for oxford shirts are considered custom orders and require 4-6 weeks for order fulfillment. Orders placed by November 30 deadline are anticipated to be shipped in January 2015. Return this completed order form with credit card information by November 30, 2014. Orders may be dropped off at the Exhibit Booth at the conference, or emailed to bookstore@ itrauma.org or faxed to 630-495-6404. Shipping charges will be added based on shipping destination, and your order will be charged at the time of shipment. Shipping charges are ap- SAMPLE SHIRTS ON DISPLAY proximately $15 to U.S. destinations and $25 to destinations outside the U.S. IN THE ITLS EXHIBIT BOOTH! SHIP TO: BILL TO:

MUST HAVE STREET ADDRESS. UPS WILL NOT SHIP TO PO BOX. PHONE PHONE EMAIL PAYMENT INFORMATION: ____ VISA ____ MasterCard ____ Discover ____ AMEX ACCOUNT NUMBER EXP. DATE MEN’S SHIRTS WOMEN’S SHIRTS Pinpoint Oxford Shirt - White with Embroidered Logo Silky Poplin Shirt - White with Embroidered Logo $45.00 $45.00 Quantity/Size: S ____ M ____ L ____ Quantity/Size: S ____ M ____ L ____ XL ____ 2XL ____ 3XL ____ XL ____ 2XL ____ • 3.7 oz. 60/40 cotton/polyester blend • 3.4 oz., 60/40 cotton/polyester • Wrinkle-free, pill- and stain-resistant • Wrinkle-free blend • Left chest pocket with embroidered ITLS logo above pocket • Embroidered ITLS logo on left chest (no pocket) • Button-down fused collar • Soft-fused point collar with a narrow placket • Single-needle stitched armholes • Front darts for fitted feminine shape • Double-needle stitched felled side seams • Single-needle stitched armholes • Two pearlized buttons on adjustable cuff with button- • Double-needle stitched felled side seams through sleeve placket • Two pearlized buttons on cuffs • Back box pleat for ease of movement • No back pleat

Oxford Shirt - Light Blue with Embroidered Logo Oxford Shirt - Light Blue with Embroidered Logo $45.00 $45.00 Quantity/Size: S ____ M ____ L ____ XL ____ Quantity/Size: S ____ M ____ L ____ XL ____ 2XL ____ 3XL ____ 4XL ____ 2XL ____ 3XL ____ • 4.35 oz. 60/40 cotton/polyester blend • 4.35 oz., 60/40 cotton/polyester oxford cloth • Wrinkle-free, pill- and stain-resistant • Wrinkle-free, pill- and stain-resistant • Left chest pocket with embroidered ITLS logo above pocket • Left chest pocket with embroidered ITLS logo above pocket • Button-down fused collar • Button-down fused collar • Single-needle stitched armholes • Single-needle stitched armholes • Double-needle stitched felled side seams • Double-needle stitched felled side seams • Two pearlized buttons on cuff • Two pearlized buttons on cuffs • Back box pleat for ease of movement • Left chest pocket • Back box pleat for ease of movement (See detailed sizing charts on back) TOTAL DUE: $______MEN’S SHIRT SIZING INFORMATION

White Pinpoint Oxford Shirt

Blue Oxford Shirt

WOMEN’S SHIRT SIZING INFORMATION

White Silky Poplin Shirt

Light Blue Oxford Shirt