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     "NEW SOFTBALLS" ORDER FORM

                                *Cost per ball is $3.00

                                      *Number of COED Softballs remaining for purchase is: 231

                                      *Number of MEN'S Softballs remaining for purchase is: 183

                                                                         NSA Spirit 12                       

                                     Number of CO-ED (11"  40 core) Softballs requested?    

                                                Number of MEN'S (12"  40 core) Softballs requested?           

                               

    Please fill out the request information below.  You will be contacted as to where and when the hand-off will take place. This sale will continue till all the softballs are purchased by participants of the Independent Church League.  Checks can be made out to Independent Church League or ICL. 

                     First Name    Required*

                                Last Name    Required*

                                Address         Required*

                                City                Required*

                                State                          ZIP CODE     Required*

                                Phone Number     Required*

                                Email Address       Required*

                                Team Name          Required*

                                Payment Method     Required*

   Desired Pickup Location?

                                                                                                (ICL reserves the right to refuse any order)

For Administrative Use Only:

                                Received By   (print name)

                                Received By (signature)

                                Quantity Rec'd   (Men's) (Coed)

                                Amount Rec'd  $   (Cash) Y/N      (Check) Y/N

                                Date Rec'd (ddmmyyyy)

 

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