Shirts

VBCOA Order Form

Name
Shipping Address
(needs to be a physical address)

contact phone number
***All short sleeved shirts are $25.00*All long sleeved shirts are $30.00* Hats are $20.00***
********checks or money order made out to VBCOA********
Style Twills in short and long sleeve, Denim in short and long sleeve, Men's and Woman's Polo's	Color Twills in Black, Khaki, and Blue, Denim in Blue, Polo's in Gray, Khaki, and Blue	Size Medium-Xlarge, add $1.00 for 2XL add $2.00 for 3XL	Hats	Additional embroidery $3.00 per location (use comments block)	Total


















Comments and additional instructions
				Total



send to:	City of Martinsville - Inspections	fax to:	(276) 403-5381
	Kris Bridges
	P.O. Box 1112	email to:	kbridges@ci.martinsville.va.us
	Martinsville, VA 24114-1112
?????questions????? Call Kris (276) 252-7769