LOUISIANA REGION IV SCIENCE AND ENGINEERING FAIR

                                    LSU-ALEXANDRIA

           2008 T-SHIRT ORDER FORM

YOUR NAME: _____________________________________________

 (PLEASE PRINT)

    SIZE                               QUANTITY                 UNIT COST           TOTAL COST

Youth Small (6-8)                         ____________                       $10.00                _____________

Youth Medium (10-12)                ____________                              $10.00                      _______________

Youth Large (14-16)                     ____________                              $10.00                      _______________

Adult Small (34-36)                      ____________                              $10.00                      _______________

Adult Medium (38-40)                  ____________                            $10.00                      _______________

Adult Large (42-44)                      ____________                             $10.00                        _______________

Adult X-Large (46-48)                  ____________                             $10.00                      _______________

Adult XX-Large (50-52)               ____________                             $10.00                      _______________

                    TOTAL AMOUNT ENCLOSED:   $____________

                                    (Please make check payable to LSU-Alexandria)

Send us your order:

by e-mail

You may email this form by copying this page and pasting it into an e-mail that will pop up when you right-click

on this address:  spurifoy@lsua.edu.  Please note that we will order a shirt for you.  Payment is expected on

the morning of the science fair.

OR

by paper mail 

Please return the completed form and payment to the following address:

     Ms. Sandra N. Purifoy

     Department of Biological Sciences

     Louisiana State University at Alexandria

     8100 Highway 71 South

     Alexandria, LA  71302-9121