KNOM 30th Anniversary T-Shirt Order Form

Please print this form and mail it with check or money order to: Alaska Radio Mission, PO Box 988, Nome, Alaska 99762.

In addition to my donation, I am enclosing an additional $__________ to purchase _____ KNOM 30th Anniversary T-shirt(s) at $20.00 each, including Priority Mail. I understand that due to limited supplies, the color(s) I prefer may not be available. Sizes: S (very limited), M, L, XL. (XXL is sold out.) Colors: black, navy, purple or royal blue
                                                                                                                  Qty   Size   Color 1st/2nd choice
Name_________________________________________________      ___   ____ ______/______
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Address_______________________________________________      ___   ____ ______/______
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City___________________________________________________     ___   ____ ______/______
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State______ Zip_______________________        Thank you!                                                                          8/01