Bluegrass Dive Club
Lexington, Kentucky

Dominica - 2017 Shirt Order Page

Please submit ONE form for each shirt you wish to order.
If changes are required, please submit a NEW form and
check the Revision block below.
Trip:
Form Status:   Original     Revision

Purchaser Information
Name:  
Home Phone:   Include Area Code
Home Address:  
City:         State:     Zip:                    
E-Mail Address:  

Shirt Order Information
Optional
Shirts Available:		 Please pick Style and Size below.  You are welcome to order as many shirts as you want which will be added to your trip fees. 
Polo Shirts  
"T" Shirt   
Additional Information
or Comments

Submit Form:     
Please be patient - Form may take a short time to process - You will see a confirmation page when complete.  You may want to print this page for your records.

 

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Copyright © 2018 Bluegrass Dive Club
This Page was last modified09/06/22