Business: Email: Telephone Number: Name: Total Qty: x $10 = __________ __________ Prepayment Required ORDER OCTOBER 8TH __________ PAID: CASH CHECK Checks payable to: Souris Valley United Way | * Contact our office to pay by credit card QUESTIONS? Email: [email protected] . Need more order forms? www.svunitedway.com/liveunitedday Black White Red Orange Gold Silver Royal Blue Light Blue Color/Size Small Medium Large XL 2XL 3XL Quantity CREDIT