Order of the Golden Circle Fundraiser Shirts

Leaders Building Leaders.

We are a reflection of those who have led us to our destination.

**Disclaimer**

Once the order form has been submitted, the Fundraiser Committee will reach out for payment options.

**Shipping is not included in cost**

Order of the Golden Circle Fundraiser Shirts

Name(Required)

First Last

Email(Required)

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Assembly Name(Required)

Valley(Required)

Orient(Required)

Small-6X $25.00 each + Shipping

(Example: 1 L, 3 XL, etc)

Quantity- Small

Quantity- Medium

Quantity- Large

Quantity- XL

Quantity- 2X

Quantity- 3X

Quantity- 4X

Quantity- 5X

Quantity- 6X

For any further questions please send an email to ezey3@yahoo.com. Hard Copy Forms can be downloaded and sent tot he below listed POC: Email: ezey3@yahoo.com Mailing address: 2605 S. Indiana Ave. Unit 1105, Chicago, IL 60616 Phone Number: (773)807-1111