Church Partner -- T-Shirt Order Form Please fill out this form and return it to the ACTION office asap. T-Shirts are $7 - $8 each and payment is due when order form is submitted.

What City:

Church Name

Address/Phone # ______

Website

E-Mail: ______

Point Leader Name:

Point Leader Phone(s): ( ) - ______

Point Leader E-Mail: ______

Order Details Point/Team Leader(s) Volunteers $8/each $7/each (Green) (White)

Child Medium N/A Child Large N/A Adult Small Adult Medium Adult Large Adult XL Adult XXL

TOTAL (S)

TOTAL # OF Volunteer T-shirts: ______x $7/each = $ ______TOTAL # OF Point/Team Leader T-shirts: ______x $8/each = $ ______TOTAL AMOUNT DUE $ ______

(PLEASE MAKE ALL CHECKS PAYABLE TO ACTION FOUNDATION)

IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE PLEASE CONTACT ACTION AT 805-987-0300.

ACTION Foundation 4001 Mission Oaks Blvd. Suite S, Camarillo, CA 93012 FAX: (805)987-0334