ADAPT’s ‘Free Our People’ March T-Shirt Sales

T-shirts are $25.00, which includes shipping and handling

**All additional donations are appreciated.**

All orders will be shipped after full payment is received. Make check or money order payable to: 

Free Our People March
Mail this completed order form page with payment to: 

L. Anthony
2100 W. Norwegian St. Apt. 2G
Pottsville, PA 17901
Ph: 570-628-4292

Name ________________________________________



Address (Street, number Bldg/Apt #) _______________________________________ 



(City, State Zip Code) _________________________________________


 
Phone __________________ Email ___________________ 

Sizes Available
*Please indicate # of shirts requested by size, in space provided.


______________ SMALL 

______________ MEDIUM

______________ LARGE

______________ X-LARGE

______________ 2 X 

______________ 3 X

______________ 4 X 

______________ 5 X

______________ Child Small

______________ Child Medium

______________ Child Large

______________ Total shirts ordered. $_____________ Amt. Enclosed

*Additional Donation Enclosed: __________________*

All orders will be shipped after full payment is received. Make check or money order payable to: 

Free Our People March
Mail this completed order form page with payment to: 

L. Anthony
2100 W. Norwegian St. Apt. 2G
Pottsville, PA 17901
Ph: 570-628-4292