Text Box: Club Shirt Order Form   Name:   Phone:   Email:   Shirt style Number:                                                                White only        Size:   Shirt price:   Quantity:   Shipping $1.00   Embroidery logo $5.00   Logo color   Text color   Embroidery name: $1.00, Name:   Total Due   Paid in full: Text Box: Richard Lang, Director Central New York PT Cruiser Owners Club 4308 Graham Rd. Jamesville, NY 13078 315-492-9273 rlang3@twcny.rr.com