City of Columbia Shirt Design F r o n t B a c k Please Circle your choice for type of shirt and size. Short Sleeve: $15 M ___L ___XL ___2XL ___3XL Columbia Fire Department Shirt Design F r o n t Please specify the number of shirts with type and size. Pink Short Sleeve: $15 ___Youth S ___Youth M ___S ___M ___L ___XL ___2XL ___3XL Long Sleeve: $20 ___Youth S ___Youth M ___S ___M ___L ___XL ___2XL ___3XL F r o n t B a c k ___Youth S ___Youth M ___S ___ B a c k Please specify the number of shirts with type and size. Blue Short Sleeve: $15 ___Youth S ___Youth M ___S ___M ___L ___XL ___2XL ___3XL Long Sleeve: $20 ___Youth S ___Youth M ___S ___M ___L ___XL ___2XL ___3XL Front Columbia Police Department Shirt Design Back Please specify the number of shirts with type and size. Short Sleeve: $15 ___Youth S ___Youth M ___S ___M ___L ___XL ___2XL ___3XL Long Sleeve: $20 ___Youth S ___Youth M ___S ___M ___L ___XL ___2XL ___3XL Orders are due September 18, 2015 Orders are due September 18, 2015 Name: Address: Phone: Email: Make checks payable to the City of Columbia. Orders can be mailed to: City of Columbia, Attn. Connie Bailey P.O. Box 147 Columbia, SC 29217-0147 Don’t forget to join us for the walk on October 17 at Finlay Park and the Mayor’s Annual Isabel Law Breast Cancer Awareness Breakfast on October 16. Proceeds will go to Palmetto Health Foundation for the Bosom Buddies Fund to assist women with post-mastectomy bras and other support materials.