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First name*

Last name*

Company name

Phone*

Email*

Would you like your logo featured on the 2024 shirts?*

Yes

No

If so, the logo must be emailed to coastalgingercreations@gmail.com by October 1, 2024. Logos not recieved by October 1, 2024 will not be on featured on this year's shirt.

Shirt size request (up to 4)

Youth - Small

Youth - Medium

Youth - Large

Youth - XL

Women - Small

Women - Medium

Women - Large

Women - XL

Unisex - Small

Unisex - Medium

Unisex - Large

Unisex - XL

Unisex - 2XL

Unisex - 3XL

How would you like to pay?*

Credit Card Payment

Silver300

Gold500

Platinum 1000

This is only if you're paying by credit card. If you choose to pay in cash or with a check please reach out to emmashopehouse@gmail.com to make arrangements for you payment.

Copyright Emma's Hope, Inc.

All Rights Reserved, 2019

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