Tristan Lippmann Donation Fund
$20 Each (includes shipping)
Shipping Address: ___________________________________________________________
City: ___________________________ State: ____ Zip code: ____________
Email and/or Phone: ____________________________________________
(in case of any ordering/shipping issues)
Please indicate shirt color: _____ White _____Black
Please indicate quantity for each size:
____ S ____M ____ L ____ XL
Total number of shirts: _____
Total amount enclosed: _____
Please mail this completed form along with your check made out to the The Tristan Foundation to:
96136 Light Wind Dr
Fernandina Beach, FL 32034
You may also email the information to us (firstname.lastname@example.org) and send the check separately. Shirts will not be shipped until payment is received.
We will contact you once your t-shirt ships. Please expect 2-3 weeks for delivery. Thank you for supporting the Tristan Fund!