What kind of clothing  would you like to receive?

Shoes          Shoe Size:             Shirts         Shirt Size:

 

Hats            Hat Size:                     Other                                                

      

Other:         

Adidas is offering specials for UT employees (Select One)

          Lasix Eye Surgery        Bone Marrow Transplant        Open Heart Surgery        Lawn Care

Enter your special requests in the space provided below:

Tell Bill where to send your stuff:

Name
Address
City
State/Zip
E-mail
Tel

Check here if you need rush delivery.