Teacher T-Shirt Order

Are you purchasing a T-shirt(s) for yourself or someone else?

Myself

Someone else

Purchaser Information

Full first name

Preferred first name

Legal last name (please do not include any former last names)

Maiden Name (if applicable)

Preferred Email Address

Birthdate (for matching to your Augustana record)

Purchaser Home Mailing Address

Country

Street

City

Region

Postal Code

Recipient Information

Recipient Full Name

Recipient's Grad Year

Teacher's school

Teacher's subject(s) and grade level(s) taught

Is the shipping address for your order the same as the address Purchaser's address as entered above?

Yes

No

Recipient's Name (if different from purchaser's)

Mailing Address for Your Order

Country

Street

City

Region

Postal Code

Please select the quantities of each size of T-shirt you would like – $10 each

Small

Medium

Large

X-Large

2X-Large

Total Amount Due

Payment information

Amount Due
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Amount Due

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