Jer Jr. Would Roll Shirt Order Form

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Thanks for supporting Jer Jr.! 100% of the profits from shirt sales go directly to Jeremy Montes, Jr. and his family to help offset costs for his treatment.

Make your payment to this page: http://www.gofundme.com/JerTapsLeukemia

Shirt Price is a minimum donation of $25.00. Please add $5.00 if your order will be mailed.

Questions?
denisekhenry@gmail.com

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First Name *

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House Number and Street Name

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eMail Address *

Size and Quantity *

American Apparel Ts - S, M, L, XL, XXL

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