T-SHIRT ORDER FORM Early bird orders - enjoy free shipping if ordered by March 31st 2017!!! Special offer - 5% discount on  Solid color orders (Neon Green not included) Your order will only be processed on receipt of payment. Name: Last Name: Address: City: State: Zip: Country: Phone: Fax: Email: Shipping Address City State Zip Shipping costs are:  $0.28/shirt for Crown Heights Delivery; $0.48/shirt for anywhere else in the U.S. Start date of camp Color: White Neon Green (only "Jerzees" brand 50/50) Solid Colors  ( please specify color number) Tie dye ( please specify color number) Logo Type:     Round: Color Black White                          Square: Black White Text under logo Custom orders: $75 additional charge for custom orders. Please contact us for individual prices for your custom logos or any other request (i.e. additional logos/taglines, diff. color shirts, etc.) Quantity: Child: XS S M L Adult: S M L XL Long Sleeve Child: S M L Long Sleeve Adult: S M L XL Short Sleeve Adult with STAFF on back (additional $1.00 per shirt) S M L XL Long Sleeve Adult with STAFF on back (additional $1.00 per shirt) S M L XL Total Quantity Total Cost ( click here for prices) Notes: Payment Information: Will Mail Check to: Gan Israel T-Shirts, c/o Chabad of Merrick 2083 Seneca Gate, Merrick, NY 11566 Charge my: Master Card. Visa Card Card Number Expiration (MM/YYYY) CVV/CVC What's this? Billing Address State Zip Please click submit only once. Please wait a few seconds for acknowledgement online that your information was received. We will send you a receipt once your order has been processed. If you have problems with this form please notify us by clicking here. This page uses 128 bit SSL encryption to keep your data secure.