Communicare

Communicare Store Order Form
Item #	Item Name	Price	Color Options
SP10	Port & Company® Long Sleeve Value Denim Shirt	$19.75
LSP10	Port & Company® Ladies Long Sleeve Value Denim Shirt	$19.75
03482	Jerzees Sport Shirt	$15.80
03155	JERZEES Z NuBlend™ Full-Zip Hooded Sweatshirt	$26.99
17479	Outer Banks Cotton Sport Shirt (Men's)	$23.90
17779	Outer Banks Cotton Sport Shirt (Ladies')	$23.90
J779	Port Authority® - All-Season Jacket	$64.25
L779	Port Authority® - Ladies All-Season Jacket	$64.25
S608	Port Authority® - Long Sleeve Easy Care Shirt	$24.49
L608	Port Authority® - Ladies Long Sleeve Easy Care Shirt	$24.49
PWU	Port Authority® - Garment Dyed Cap	$9.75
73195	Lee® Heavyweight Crewneck Sweatshirt	$14.75
BG8213	Men's Long Sleeve Twill	$29.50
BG6213	Women's Long Sleeve Twill	$29.50
2482	Cutter & Buck Men's Tournament Golf Shirt	$48.50
			Sales Tax (6%):
			Total Price:

Customer Information Full Name Email Address Phone Number Credit Card Information Credit Card Type Credit Card Number Expiration Date Name On Card Billing Information Street Address City State Zip Code Shipping Information Street Address City State Zip Code