If you've decided you'd like to order to own SIUE Nursing Jacket, just print out this form, fill it out, & drop off your form & your check made out to SNA in the SNA mailbox or give it to one of the officers.
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Name: __________________________________ |
Phone Number: _____________________________ |
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Email: ____________________________________________ |
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Semester: _____________ |
Are You An SNA Member: ______Yes _____No |
Jacket Style: (Please refer to the Merchandise Page to be sure you are selecting the right choice). Please check the appropriate boxes.
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Sizes: |
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Please Choose Your Design (to go on the chest of the jacket). Please refer to merchandise page.
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Have you included your check or money order made payable to SNA?
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9954 Speed Racer Full-Zip: Price = $50 for SNA members, $55 for nonmembers