SAMPLE FORM
Engine 202 / Ladder 101

Redhook Raiders
Seven in Heaven
Commemorative Shirt Order Form

Enter a number for each size shirt you want, then press the Calculate Total button.
After pressing this button, use the print button on your web browser to print out this form,
and include this form along with your check or money order.

Size Quantity Price Total
Small $20 $
Medium $20 $
Large $20 $
Extra
Large		 $20 $
Extra
Extra
Large		 $20 $
Total Shirts/Charge $20 $

Please make out your check or money order for the above amount and make it payable to:

Engine 202 / Ladder 101 Commemorative Shirt Fund

Please mail your check to:

Engine 202 / Ladder 101
31 Richards Street
Brooklyn, N.Y. 11231