Pack 128

Class B 

T-Shirt Order Form

Cub's Name:_____________________________________________________

Parent's Name:___________________________________________________

Phone Number:___________________________________________________

Den Leader:______________________________________________________

Please Mark Size(s) and Indicate Quantity 

$8.00 Size:        Youth Small_____

                          Youth Medium_____

                          Youth Large_____

                          Adult Small_____

                          Adult Medium_____

                          Adult Large_____

                          Adult XL_____

$10.00 Size:      Adult XXL_____

                          Adult XXXL_____   

Total # Shirts:_______________

Amount Paid:_______________

Print and return this form to: 

 Al Cornell Sr. / Committee Chair 

al.cornell@meeklumber.com or 399-1976