Bridgeton Lodge #80 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. Polos will have the lodge name and Square and Compass on the left chest. Names will be on the right chest.Checkbox Items *Bridgeton Lodge Royal Blue Polo – $35.00Logo Choice *Square & CompassSquare & CompassPast MasterQTY – Royal Blue Polo1123Please note: The following price increases when selecting sizes: 2XL and Tall: +$3.00 3XL and Larger: +$5.00 Royal Blue Polo Size *Medium – $0.00Medium – $0.00Large – $0.00X-Large – $0.002XL – $3.003XL – $5.004XL – $5.005XL – $5.00LT – $3.00XLT – $3.002XLT – $3.003XLT – $5.00Royal Blue Polo – QTY 2 *Medium – $0.00Medium – $0.00Large – $0.00X-Large – $0.002XL – $6.003XL – $10.004XL – $10.005XL – $10.00LT – $6.00XLT – $6.002XLT – $6.003XLT – $10.00Item 12 – $0.00Royal Blue Polo – QTY 3 *Medium – $0.00Medium – $0.00Large – $0.00X-Large – $0.002XL – $9.003XL – $15.004XL – $15.005XL – $15.00LT – $9.00XLT – $9.002XLT – $9.003XLT – $15.00Name you would like embroidered onto the garment(s). One line of text is included, approximately 20 charactersAdditional Option2nd Line of Text – $5.00This will be under the first line on the right chestAdditional Option – QTY 22nd Line of Text – $10.00Additional Option – QTY 32nd Line of Text – $15.00Second Line of Text that you would like embroidered.This will be under the first line of text on the right chest.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. There will be a 3% processing fee added to the total when using credit card or Venmo Business. We will email you the Venmo information to the email listed above. There will be a 3% processing fee added to the total when using credit card or Venmo Business. Date Requested By:We have a normal estimated 3-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 itemsTotal$0.00Submit
