T-Shirt Order Form
Color: Blue V-Neck $20
Size
Quantity Total
(Mom)
M
x
L
x
XL
x
XXL
x
Color: Blue Crew neck $12
Size
Quantity
Total
(Dad)
M
x
L
x
XL
x
XXL
x
Color: Sage Crew neck $12
Size
(Mom)
S
M
L
XL
XXL
Quantity Total
x
x
x
x
x
T-Shirts: $12 crew neck
$20 V-neck
Mailing Costs: add $4
Order Total: ______
Name: ___________________________________________________________________
Address: _________________________________________________________________
City:_________________________________________________________ State: ____________ Zip:__________________
Telephone: ___________________________________ Email address:_____________________________________________________
You will receive an email to confirm that payment has been received and an order has been shipped.
Please contact the Office of Parent and Family Services at (928) 523 – 6267 with questions.
Payment Options
Check payable to: NAU Foundation (mail to: PO Box 6015, Flagstaff, AZ 86011)
Credit Card Info (mail, email to parentandfamilyservices@nau.edu or fax to 928-523-1425)
_____________________________________________________________________________
Cardholder Name (As it appears on card)
________________________________________
Card Number
____________
_______________________
CVV Code
Expiration Date
Is billing address the same as mailing address? ______ Yes
If different, please write billing address below
______ No
______________________________________________________________________________________________________
Proceeds from t-shirts benefit student scholarships and support programmatic efforts of Parent and
Family Services.