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Name: _____________________________

Phone Number: ________________________

Please clearly indicate sizes and qty for each size. Please make check out to the Ansonia Gridiron Club. Mail order form and check to Rob Lisi at 4 Stephen St, Derby CT 06418. Do not mail cash, checks only. DUE DATE FOR

ORDER FORMS IS SEPT 27.

Gear can be picked up either A.) at home game on Thur Oct 17 vs Masuk at table next to scoreboard or B.) at Nolan Field main parking lot on Sat Oct 19 from 9 am to 12 noon. We are unable to mail gear anywhere.

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