15th Annual Steve Belson Memorial Swim and Music Festival T-Shirt Order Form

  

15^th Annual Steve Belson Memorial Swim and Music Festival

Saturday August 20, 2016

Music at the Bungalow Bar – 6:00pm

T-Shirt Order Form

Coral Tank Top 2 Sided Design

$20.00 Each

Size	Quantity
Small
Medium
Large
X-Large
XX-Large

Name:                                                                                                                      

Address:                                                                                                                   

                                                                                                                                 

Phone #:                                                                                                                   

Email:                                                                                                             

All proceeds will benefit lifeguards attending college through the Steve Belson Memorial Scholarship Fund

Cash or Checks payable to

The Steve Belson Memorial Scholarship Fund

Order yours today! There will probably not be many available on

August 20th.

Advanced orders ASAP please!

Mailing address

Steve Belson

Memorial Scholarship Fund

c/o Sean Kellar

522 Beach 140^th Street

Belle Harbor, NY 11694

For more information

Sean & Annie – (347) 410-4126

Brian & Kathy – (516) 432-5326