ILLINOIS CORONERS AND MEDICAL EXAMINERS ASSOCIATION

CLOTHING ORDER FORM

T Shirts (Grey) $10.00

Hats (Blue w/tan trim) $10.00

  (Tan w/ blue trim) $10.00

Sweatshirts (Navy) $22.00

  (Forest Green) $22.00

Henley Grey Long sleeve $20.00

Bicycle Shorts (Black) $15.00

Windshirts (Navy) $48.00

  3x: $52.00

Denim Shirt (Blue) Long sleeve $35.00

Denim (Natural) Long sleeve $35.00

Denim Shirt (Blue) Short sleeve $32.00

Polos (Blue/Tan) $30.00

  (Green/Tan)

  (Burgundy/Blue)

Ladies Polos (White/Blue)

  (Yellow/ Blue)

Ladies T's (White) $17.50

  Long sleeve

  Short sleeve

  (Red)

  Long sleeve

  Short sleeve

Padfolio (Black) $15.00

NAME:_____________________________________________________________

ADDRESS:__________________________________________________________

CITY, STATE, ZIP___________________________________________________

ITEM _____________________________

COLOR _____________________________

SIZE ___________

QUANTITY ______________

PRICE ___________________

Shipping: Add $3.00 per item

Total Due (Make checks payable to ICMEA): ___________

Mail to: Lynn Reed

Moultrie County Coroner

P. O. Box 528

Sullivan, IL 61951