Payment by Check Form
    Please print this form out and mail it with your check to:
   SBSHS Foundation, Inc.
  P. O.  Box 55946
  Houston, TX  77055
 


 NAME:____________________________________  PHONE #:___________________
                                                     (include maiden name if applicable)
 ADDRESS:___________________________  E-MAIL:___________________________

CITY:____________________  STATE:______________ ZIP:___________________

CLASS OF:_____________________________

Print the page out and return with you check.  Please indicate how many of each item you want and be sure to include the sizes for the T-Shirts. 

BBQ Plates - $10.00 each
Please print out your receipt as proof of purchase

Please send me:

______________

 

Dinner/Dance - $45.00 each
Please print out your receipt as proof of purchase

Please send me:

______________

 

BBQ/Dinner Combo - $50.00 each
Please print out your receipt as proof of purchase

Please send me:

______________

 

$15.00 + 2.00 for shipping/handling = $17.00
 SBSHS Bear T-Shirt
 5.5 oz.* heavyweight 50% cotton / 50% polyester fabric. Double-needle bottom and sleeve hems. Generous fit for active lifestyles.  Resists shrinkage and holds its shape.
  Please print out your receipt as proof of purchase

 Please send me:

______________

Sizes: Small, Medium, Large, XL, XXL