Shirt Order Form
Piux X Council 3498 shirts are available in dark blue or white. Please enter your information below, and be sure to select both a size, and the name you wish to have embroidered on the front. The order will be emailed to both you and the Shirt Order coordinator. If you have any questions about the order, you can email Brother Jack at jackjomur@aol.com.

Last Name:
First Name:
Phone Number:
Email Address (if applicable):
Select Shirt Size:	S M L XL XXL XXXL
Select Color:	Blue White
Desired Name on Shirt:

Your order will be verified by the coordinator before it is placed. Please ensure your telephone number and email address are correct before clicking the submit button. Also, check that you have ordered the correct size and color.