Philadelphia Athletic Charities Track Club
Merchandise Order Form
__________________________________________________________
Greater Philadelphia Track Club Order Form
Add $1.50 for every item ordered to handle shipment and handling to U.S.
addresses only. If you would like to order it and pick it up from Chuck Shields in
person,let him know. Please circle the size(s) ordered and Please Print Info Section.
Name_______________________________________________________
Address ___________________________________________________________
City_____________________________ State______________ Zip_________________
Phone__________________________________ E Mail____________________________________________
Price each Quantity Shipping Amount
GPTC Race Singlet S M L XL $16 ______ ______ ______
Please make check payable to Greater Philadelphia TC and mail form to :
Greater Philadelphia TC/Chuck Shields
1500 Ferndale Rd
Abington, Pa 19001
Sorry, credit card ordering is not available. Allow 2-3 weeks for
delivery if your size is in stock