Print the form below and write in your selections.
Please mail payment for purchases from this organization to:
SNPhA, College of Pharmacy
The University of Texas at Austin
1 University Station, A1900
Austin, TX 78712-0120
USA
(Note: All prices include shipping and handling charges. T-shirts and sweatshirts are in adult sizes.)
Questions about the items may be sent to The College of Pharmacy. Please include the name of the organization selling the item in your message.
| Item Description | Item Price | Item Options |
|---|---|---|
| Second to None Sweatshirt | $20 | Select Size: S M L XL 2XL 3XL Select Color: Navy Blue, Orange, Gray, White |
| Second to None T | $15 | Select Size: S M L XL 2XL 3XL Select Color: White, Blue, Orange, Pink |
| Bevo Pill Bottle T | $15 | Select Size: S M L Select Color: Orange or Grey |
Please enter the number of items you want to purchase of each option. If none, leave blank.
Small Size Second to None Navy Sweatshirt | ________ | Medium Size Second to None Navy Sweatshirt | ________ | Large Size Second to None Navy Sweatshirt | ________ | Extra Large Size Second to None Navy Sweatshirt | ________ | 2XL Size Second to None Navy Sweatshirt | ________ | 3XL Size Second to None Navy Sweatshirt | ________ |
Small Size Second to None White Sweatshirt | ________ | Medium Size Second to None White Sweatshirt | ________ | Large Size Second to None White Sweatshirt | ________ | Extra Large Size Second to None White Sweatshirt | ________ | 2XL Size Second to None White Sweatshirt | ________ | 3XL Size Second to None White Sweatshirt | ________ |
Small Size Second to None Orange Sweatshirt | ________ | Medium Size Second to None Orange Sweatshirt | ________ | Large Size Second to None Orange Sweatshirt | ________ | Extra Large Size Second to None Orange Sweatshirt | ________ | 2XL Size Second to None Orange Sweatshirt | ________ | 3XL Size Second to None Orange Sweatshirt | ________ |
Small Size Second to None Gray Sweatshirt | ________ | Medium Size Second to None Gray Sweatshirt | ________ | Large Size Second to None Gray Sweatshirt | ________ | Extra Large Size Second to None Gray Sweatshirt | ________ | 2XL Second to None Gray Sweatshirt | ________ | 3XL Size Second to None Gray Sweatshirt | ________ |
Small Size Second to None White T | ________ | Medium Size Second to None White T | ________ | Large Size Second to None White T | ________ | Extra Large Size Second to None White T | ________ | 2XL Size Second to None White T | ________ | 3XL Size Second to None White T | ________ |
Small Size Second to None Blue T | ________ | Medium Size Second to None Blue T | ________ | Large Size Second to None Blue T | ________ | Extra Large Size Second to None Blue T | ________ | 2XL Size Second to None Blue T | ________ | 3XL Size Second to None Blue T | ________ |
Small Size Second to None Orange T | ________ | Medium Size Second to None Orange T | ________ | Large Size Second to None Orange T | ________ | Extra Large Size Second to None Orange T | ________ | 2XL Size Second to None Orange T | ________ | 3XL Size Second to None Orange T | ________ |
Small Size Second to None Pink T | ________ | Medium Size Second to None Pink T | ________ | Large Size Second to None Pink T | ________ | Extra Large Size Second to None Pink T | ________ | 2XL Size Second to None Pink T | ________ | 3XL Size Second to None Pink T | ________ |
Small Size Bevo Pill Bottle T Orange T | ________ | Medium Size Bevo Pill Bottle T Orange T | ________ | Large Size Bevo Pill Bottle T Orange T | ________ |
Small Size Bevo Pill Bottle T Grey T | ________ | Medium Size Bevo Pill Bottle T Grey T | ________ | Large Size Bevo Pill Bottle T Grey T | ________ |
| Total number of t-shirts - $15 each | ________ | Total number of PINK t-shirts - $13 each | ________ |
| Total amount due | ________ |
Please submit checks payable to SNPHA; and, provide the address where the items are to be shipped:
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