OFFICIAL T SHIRT ORDER FORM

Order Deadline is March 10, 2017

Most Shirts will be available for pick up at the 4-H Poultry Show on April 1, 2017

All shirts are $15,

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Please fill in ALL blanks

First Name:
Last Name:
Street Address
City
State
Zip Code
Phone:
Email
Size
Number of Shirts Each Size
Extra Large
Large
Medium
Small
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If you have questions contact Dr. Mike Darre

michael.darre@uconn.edu or call 860-486-1008