Hexacyclinol T-shirt

I wish to support Iota Sigma Pi, Calcium chapter in this fund raiser by purchasing this T-shirt.  Please send me (enter quantity):

 

S __

M __

L __

XL ___

 

T-shirts at the price of $13 each plus $5 for shipping.  If you are on campus (UCI) we can hand deliver at no additional charge (remember to include in the address where you are located in UCI).

 

I have included ___ X $18 = ____  for the t-shirts requested.

 

Name:

Address:

 

Contact Phone Number:

Email address: 

 

 

 

 

 

Please print out this page and mail it in with your form of payment (check or money order) to:

 

Megan Bolla

Department of Chemistry

1102 Natural Sciences II

University of California Irvine

Irvine, CA 92697-2025

 

             Please check here if you would like your t-shirt before the 2006 ACS meeting              in San Francisco.

 

Thank you for your support!