Redefining the Classroom

Laker Cycling Jersey Order Form

  * = required field
*First Name:
*Last Name:
*Email:
Street:
 
City:
State/Prov.:
Zip/Postal Code:
 
Mens ($75 per shirt )
Enter number ordering for each size: S  M  L  XL  3X
 
Womens ($75 per shirt)
Enter number ordering for each size:  S   M  L  XL  2X
   
I will pick up my order at the Lukenda Alumni House
Please ship my order to the address above for an additional $10

 

Your Total: $
*