"Shatter The Silence" T-shirt order form

OCADVSA will be ordering T-shirts for the "Take Back the Night Oklahoma" rally and march to be held at the Capitol on Sunday, April 1, 2007.

The shirts are $10.00 each, will be grey in color with the following: "Shatter the Silence" quote on the front and the Take Back the Night logo on the back.

If you would like to pre-order a shirt, please fill out this order form and return with payment to OCADVSA, 3815 N. Santa Fe Ave., #124, Oklahoma City, OK 73118 by Feb. 23, 2007. Questions, contact Jennifer at 405-524-0700, ext. 16 or by email to jennifer@ocadvsa.org.

Name: ______________________________________________________________

Agency: _____________________________________________________________

Phone Number: _______________________________________________________

Email: ______________________________________________________________

Who/where did you receive this order form:____________________________________

􀀀 $10.00 per shirt, payment must be included with order.

Please indicate desired quantity and size:

Adult Sizes:
____ Small ____ Medium ____ Large ____ XLarge
____ 2XLarge ____ 3XLarge ____ 4Xlarge ____ 5XLarge

Children Sizes:
____ Small ____ Medium ____ Large

Return with payment to:

OCADVSA
3815 N. Santa Fe Ave., #124
Oklahoma City, OK 73118

T-shirts may be picked up at the above address March 29 & 30 or the day of the event at the Capitol.