EmailMe Form - Chi Alpha Epsilon Apparel Order Form

Advisor's Name

First Last

Institution

Chapter Name:

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Shipping Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email

XAE Sweatshirt with embroderied color logo: $34.00
Total Requested:

Sweatshirt Color

Blue

Grey

Please indicate the number of XAE sweatshirts with embroderied color logo needed by size.

XAE Sweatshirt with institution logo and embroderied color logo (special order): $45.00
Total Requested:

Sweatshirt Color

Blue

Grey

Please upload a copy of your institution logo. If there is an issue with the image, you will be notified prior to production.

Please indicate the number of XAE sweatshirts with institution logo and embroderied color logo needed by size.

Hooded XAE Sweat Shirt: $34.00
Total Requested:

Please indicate the number of hooded XAE sweatshirts needed by size.

XAE T-Shirt with embroidered color logo: $17.00
Total Requested:

T-shirt Color

Blue

Grey

White

Please indicate the number of XAE t-Shirts with embroidered color logo needed by size.

Short sleeve Polo shirt with embroidered color logo (only available in blue): $38.00
Total Requested:

Please indicate the number of short sleeve Polo shirts with embroidered color logo needed by size.

Item(s) Sub-Total

$ Dollars . Cents

Grand Total

$ Dollars . Cents

Add 9% for shipping and handling. An invoice will be sent to the email address provided above.