Moolah Air Patrol Order FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeItems to OrderSelect all items that you would like to order.Checkbox Items *Air Patrol Class A Shirt – Short Sleeve – $82.00Air Patrol Class A Shirt – Long Sleeve – $84.00Air Patrol Jacket – $94.00Air Patrol Orange Utility Shirt – $44.00Air Patrol Blue Polo – $44.00QTY of Class A – Short Sleeve123QTY of Class A -Long Sleeve123QTY of Dark Blue Polo123QTY of Jacket123QTY of Orange Utility Shirt123Please note: The following price increases when selecting sizes: 2XL and Tall: +$3.00 3XL and Larger: +$5.00 Class A – Short Sleeve Size *Medium – $0.00Large – $0.00X-Large – $0.002XL – $3.003XL – $5.004XL – $5.005XL – $5.00LT – $3.00XLT – $3.002XLT – $3.003XLT – $5.00Class A – Short Sleeve Sizes – QTY 2 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $6.003XL – $10.004XL – $10.005XL – $10.00LT – $6.00XLT – $6.002XLT – $6.003XLT – $10.00Item 12 – $0.00Class A – Short Sleeve Sizes – QTY 3 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $9.003XL – $15.004XL – $15.005XL – $15.00LT – $9.00XLT – $9.002XLT – $9.003XLT – $15.00Class A – Long Sleeve Size *Medium – $0.00Large – $0.00X-Large – $0.002XL – $3.003XL – $5.004XL – $5.005XL – $5.00Item 8 – $0.00Class A – Long Sleeve Sizes – QTY 2 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $6.003XL – $10.004XL – $10.005XL – $10.00Item 8 – $0.00Class A – Long Sleeve Sizes – QTY 3 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $9.003XL – $15.004XL – $15.005XL – $15.00Item 8 – $0.00Dark Blue Polo Size *Medium – $0.00Large – $0.00X-Large – $0.002XL – $3.003XL – $5.004XL – $5.005XL – $5.00Item 8 – $0.00Dark Blue Polo Sizes – QTY 2 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $6.003XL – $10.004XL – $10.005XL – $10.00Item 8 – $0.00Dark Blue Polo Sizes – QTY 3 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $9.003XL – $15.004XL – $15.005XL – $15.00Item 8 – $0.00Jacket Size *Medium – $0.00Large – $0.00X-Large – $0.002XL – $3.003XL – $5.004XL – $5.005XL – $5.00Item 8 – $0.00Jacket Size – QTY 2 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $6.003XL – $10.004XL – $10.005XL – $10.00Item 8 – $0.00Jacket Size – QTY 3 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $9.003XL – $15.004XL – $15.005XL – $15.00Item 8 – $0.00Orange Utility Shirt Size *Medium – $0.00Large – $0.00X-Large – $0.002XL – $3.003XL – $5.004XL – $5.005XL – $5.00Item 8 – $0.00Orange Utility Shirt Sizes – QTY 2 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $6.003XL – $10.004XL – $10.005XL – $10.00Item 8 – $0.00Orange Utility Shirt Sizes – QTY 3 *Medium – $0.00Large – $0.00X-Large – $0.002XL – $9.003XL – $15.004XL – $15.005XL – $15.00Item 8 – $0.00Name you would like embroidered onto the garment(s)Item Delivery Pickup/Drop Off – $0.00 Shipped – $10.00 Item(s) will be delivered to Moolah Shrine unless Shipping is selected. Item(s) will be delivered to the address listed on the form. Please feel free to contact us to discuss other options.Total$0.00Payment OptionsCashCheckCredit CardVenmoCash payment is only available for Pickup/Drop Off Please mail your check made out to C&M Creative Designs, LLC to: C&M Creative Designs, LLC 541 Long Train Dr Troy, MO 63379 We will email you an invoice to pay by Credit Card to the email you provided above. We will email you the Venmo information to the email listed above. Date Requested By:We have a normal estimated 2-week turnaround time. If this date you are requesting is before then, we will contact you to discuss.Terms & Conditions *I understand that by clicking submit I am agreeing to purchase the selected items above for the total listed on this pageI understand that there are no refunds on custom itemsSubmit
